Novel treatment for critical aortic stenosis with severe aortic root calcification and coronary disease: Combined left internal thoracic artery graft.

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Presentation transcript:

Novel treatment for critical aortic stenosis with severe aortic root calcification and coronary disease: Combined left internal thoracic artery graft to left anterior descending coronary artery and deployment of transcatheter aortic valve implantation valve under direct vision Nick Curzen, BM (Hons), PhD, FRCP, Paul Diprose, BM, FRCSEd, FRCA, Wendy George, Geoff Tsang, MD, FRCS (CTh) The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 6, Pages e53-e54 (December 2013) DOI: 10.1016/j.jtcvs.2013.07.037 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Right anterior oblique fluoroscopic image showing extensive calcification involving the aortic root and ascending aorta. The catheter is sitting in the orifice of the right coronary artery. The Journal of Thoracic and Cardiovascular Surgery 2013 146, e53-e54DOI: (10.1016/j.jtcvs.2013.07.037) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Image from head end showing aortotomy and transfemoral 26-mm Edwards Sapien TAVI valve being prepared for positioning under direct vision. B, Close-up view through aortotomy showing TAVI valve after successful deployment. The Journal of Thoracic and Cardiovascular Surgery 2013 146, e53-e54DOI: (10.1016/j.jtcvs.2013.07.037) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions