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A hybrid approach for a case with a high risk of not only surgical but transcatheter aortic valve replacement

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Abstract

An 86-year-old woman with severe aortic stenosis was thought to be at a high risk for surgical aortic valve replacement and inoperability due to old age and porcelain aorta. Furthermore, transcatheter aortic valve replacement (TAVR) was considered difficult due to high risk of coronary obstruction secondary to the aortic root anatomy and poor vascular access associated with marked atherosclerotic lesions on the distal aortic arch with peripheral artery disease. We successfully treated her with TAVR via the brachiocephalic artery in combination with prophylactic off-pump coronary artery bypass grafting.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2-E1, Yamadaoka, Suita, Osaka, 565-0871, Japan

    Tsubasa Mikami, Koichi Maeda, Satoshi Kainuma, Kazuo Shimamura, Koichi Toda, Toru Kuratani & Yoshiki Sawa

  2. Department of Cardiology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan

    Daisuke Nakamura, Isamu Mizote & Yasushi Sakata

Authors
  1. Tsubasa Mikami
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  2. Koichi Maeda
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  3. Daisuke Nakamura
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  4. Satoshi Kainuma
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  5. Isamu Mizote
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  6. Kazuo Shimamura
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  7. Koichi Toda
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  8. Yasushi Sakata
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  9. Toru Kuratani
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  10. Yoshiki Sawa
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Correspondence to Yoshiki Sawa.

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Mikami, T., Maeda, K., Nakamura, D. et al. A hybrid approach for a case with a high risk of not only surgical but transcatheter aortic valve replacement. Gen Thorac Cardiovasc Surg 69, 1570–1574 (2021). https://doi.org/10.1007/s11748-021-01693-3

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  • DOI: https://doi.org/10.1007/s11748-021-01693-3

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