الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Coronary artery disease is a common finding in patients presenting with senile aortic stenosis. Both pathologies share a common aetiology of atherosclerosis. Different treatment options are available to treat such scenario, with either surgical aortic valve replacement and coronary artery bypass grafting or transcatheter aortic valve implantation and percutaneous coronary nary intervention being the conventional options. Yet, frailty, multiple comorbidities, or porcelain aorta may preclude a open surgical approach due to risks of stroke and mortality. Likewise, TAVI with PCI, despite recent advancements, may not be suitable for all patients especially in cases with unsuitable iliofemoral anatomy or in complex coronary artery disease, which if left untreated, can have adverse outcomes especially during periods of rapid pacing. A hybrid approach of less invasive TAVI and OPCAB provides a solution in patients considered high risk.