Percutaneous Coronary Intervention following Placement of Sutureless Aortic Bioprostheses

Area of Science:

• Cardiology
• Cardiac Surgery
• Interventional Cardiology

Background:

• Co-existing severe aortic stenosis and coronary artery disease presents a complex clinical challenge.
• Established sternal-sparing options exist for isolated aortic valve replacement, but combined non-sternotomy treatment remains undefined.
• Minimally invasive surgical and transcatheter approaches are increasingly utilized for aortic valve disease.

Observation:

• This case series reports on three patients with severe aortic stenosis and obstructive coronary artery disease.
• Patients underwent minimally invasive aortic valve replacement using sutureless valves.
• This was followed by transradial percutaneous coronary intervention for coronary artery disease management.

Findings:

• A hybrid technique combining minimally invasive aortic valve replacement with transradial percutaneous coronary intervention was successfully applied.
• This approach effectively addressed both severe aortic stenosis and significant coronary artery disease.
• The combined treatment strategy demonstrated potential for managing both conditions concurrently with reduced risk.

Implications:

• This hybrid strategy offers a viable non-sternotomy treatment option for patients with combined aortic stenosis and coronary artery disease.
• Further research is warranted to validate the long-term efficacy and safety of this hybrid approach.
• This technique may expand treatment options for complex cardiovascular patients, improving outcomes.