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- Yasuhiro Matsuda, Natsuhiko Ehara, Kazufumi Yoshida, Kite Kimu, and Tadaaki Koyama.
- Department of Cardiovascular Surgery, Kindai University Nara Hospital, Ikoma, Japan.
- Kyobu Geka. 2019 Nov 1; 72 (12): 1009-1013.
AbstractAn 85-year-old woman with severe aortic stenosis (AS) and coronary artery disease (CAD) was admitted with heart failure 3 times. Direct aorta transcatheter aortic valve replacement( DA-TAVR) and off-pump coronary artery bypass grafting (OPCAB) were performed after percutaneous coronary intervention (PCI), and she was discharged without postoperative complication. Surgical aortic valve replacement and coronary artery bypass grafting(CABG) are recommended for a patient with AS and CAD. Recently, PCI or CABG with transcatheter aortic valve replacement(TAVR) has been reported, although there is no standard treatment for concomitant CAD in patients who undergo TAVR. DA-TAVR and OPCAB after PCI is considered as a reasonable treatment for high-risk patients.
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