HYBRID at its best: Simultaneous TAVR, OPCAB and EVAR

Aortic valve stenosis and coronary artery disease are often concomitant findings in elderly patients in the developed world. In patients with a higher perioperative risk interventional treatment is typically favoured. Nevertheless, not all patients can be treated this way due to additional findings. Especially anatomi Fig. 1 Post surgery CT Scan Fig. 2 RIMA-RCA Bypass in situ cal and vascular limitations may jeopardize interventional treat ment options. In the current patient a giant aortic aneurysm and severe generalized atherosclerosis was present.