Combined Transaortic Valve Implantation and off-pump Coronary Artery Bypass Graft surgery in a patient with aortic stenosis, left main disease and «porcelain» aorta.

Conventional aortic valve replacement in patients with porcelain aorta can be technically challenging and is even sometimes seen as contraindication. Trans-aortic valve implantation has been proposed as an alternative to other trancutaneous routes of implantation and is feasible when there is a small healthy area in the right anterolateral aspect of the ascending aorta. Herein we report an interesting case of combined transaortic valve implantation and off-pump coronary artery bypass grafting in a patient with severe aortic stenosis, severe ostial left main coronary artery disease and porcelain aorta. [ABSTRACT FROM AUTHOR]