Results
The mean age at the time of surgery was 77 +/- 5.67 years old (Table 1).
All patients presented with severe aortic stenosis by AHA
criteria7. Mean aortic valve area was 0.78 ± 0.13
cm2 with a mean pressure gradient of 44 ± 12.7 mmHg.
All patients presented with coronary artery disease requiring
revascularization via CABG. 4 (50%) patients presented with 3 vessel
disease, 2 (25%) with L MCA stenosis, and 3 (38%) with proximal LAD
stenosis. All 8 (100%) patients presented with a porcelain aorta and
multiple other comorbidities precluding safe use of cardiopulmonary
bypass and aortic cross-clamping (Table 1). 1 (14%) patient had
previous PCI with restenosis requiring repeat intervention.
All patients underwent TAVR without any findings of postoperative leak
on TEE. An average of 2.25 ± 0.89 vessels were bypassed. Interventional
details are listed in Table 2.
Device success was achieved in 100% of patients. In-hospital and 30-day
mortality were 0%. Complications included heart block in 2 (25%)
patients, atrial fibrillation in 3 (38%), and 1 (13%) patient
requiring pacemaker implantation. Postoperative outcomes are presented
in Table 3.