Transaortic Implantation of Aortic Valve Bioprosthesis in High-Risk Patient With Simultaneous Off-Pump Coronary Artery Bypass Grafting

Transaortic approach represents an alternative variant of transcatheter aortic valve implantation (TAVI) which combines benefits of antegrade transapical approach and high safety profile characteristic of transfemoral approach. This method has substantial advantages over subclavian and transapical approaches in cases of pronounced myocardial hypertrophy, left ventricular dysfunction, thinning of left ventricular wall. We describe here a hybrid intervention with simultaneous coronary artery bypass grafting and TAVI in a patient from high surgical risk group with multivessel coronary artery involvement and critical aortic stenosis. The intervention was a successful alternative to open heart surgery with cardiopulmonary bypass.