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One-stop TA-TAVR Concomitant With Other Procedures
Junlong HU, Baocai WANG, Sheng WANG, Zhaoyun CHENG;
Fuwai Central China Cardiovascular Hospital, Zhengzhou, China
BACKGROUND: This abstract outlines our clinical experience with one-stop Transapical Transcatheter Aortic Valve Replacement (TA-TAVR) combined with various additional procedures, including Minimally Invasive Direct Coronary Artery Bypass Grafting (MIDCABG), left atrial appendage excision, and Transapical Transcatheter Edge-to-Edge Repair (TA-TEER). The integration of TA-TAVR with these procedures aims to optimize patient care and address multiple cardiac pathologies simultaneously.
METHODS: A retrospective analysis was conducted on three distinct cases involving one-stop TA-TAVR. Procedural details, patient selection criteria, and postoperative outcomes were systematically documented to assess the feasibility, safety, and efficacy of these combined interventions.
RESULTS: Case 1 involved one-stop TA-TAVR combined with MIDCABG, demonstrating successful valve positioning and coronary revascularization. Case 2 featured one-stop TA-TAVR concomitant with left atrial appendage excision, showcasing positive patient outcomes. Case 3 included one-stop TA-TAVR alongside TA-TEER, revealing successful simultaneous interventions and improved cardiac function. All cases displayed effective procedural integration and favorable recovery.
CONCLUSIONS:The one-stop approach, incorporating TA-TAVR with additional procedures, proves to be a versatile and efficient strategy for addressing complex cardiac conditions. The successful outcomes observed in these cases support the potential of this integrated approach in optimizing patient care and streamlining interventions. Further studies and extended follow-up are essential to validate and refine the guidelines for implementing these combined procedures in clinical practice.
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