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Abstract
Hybrid procedures offer a promising solution for complex cases where open surgery is high risk, relying on the collaboration of anaesthesiologists, cardiac surgeons and interventional cardiologists. We present a male patient in his 70s with severe aortic stenosis, coronary artery disease, ascending aortic aneurysm and heart failure who underwent a hybrid cardiac procedure, including transcatheter aortic valve implantation, percutaneous coronary intervention of the right coronary artery and coronary artery bypass graft surgery. Through this hybrid intervention, involving a minimally invasive transcatheter and an open surgical procedure, the patient remained haemodynamically stable with minimal blood loss. 6 months postprocedure, he showed significant improvement in daily activities, aided by consistent physical therapy and cardiac check-ups. Current literature supports the hybrid approach for optimising risk-benefit outcomes, though further research is needed to define precise indications for its use.
- Anaesthesia
- Interventional cardiology
- Ischaemic heart disease
- Valvular diseases
- Cardiothoracic surgery
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Footnotes
Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: JL, GC, PS and JG. The following authors gave final approval of the manuscript: JL and JG. Guarantor is JG.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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