Graft-Assisted Transapical Transcatheter Aortic Valve Replacement with Concomitant Robotic Minimally Invasive Direct Coronary Artery Bypass

The authors present a case study of a 55-year-old male with severe aortic stenosis and multivessel coronary artery disease, who was deemed high-risk for traditional surgical approaches due to prior chest radiation and severe peripheral vascular disease. They explore the feasibility and outcomes of performing a robotic minimally invasive direct coronary artery bypass in conjunction with graft-assisted transapical transcatheter aortic valve replacement as an alternative treatment strategy. This case highlights the potential for combined minimally invasive techniques in high-risk patients who are not candidates for standard surgical interventions.