One-stage Hybrid Procedure for Patients with Valvular Pulmonary Stenosis and Coronary Artery Disease

A 68‐year‐old male was diagnosed congenital pulmonary stenosis (PS) and unstable angina. He had a history of chronic obstructive pulmonary disease (COPD). Echocardiography revealed dilated pulmonary artery branch and severe valvular PS. Transvalvular peak systolic pressure gradient (PG) was 64 mmHg (1 mmHg = 0.133 KPa). Coronary angiography demonstrated 75% narrowing of left main coronary (LM), 90% narrowing of left anterior descending artery (LAD), and 100% occlusion of right coronary artery (RCA). The second patient was a 52‐year‐old male with the symptom of dyspnea on exertion and lower extremities edema. He had a history of chronic kidney disease. Echocardiography revealed that transvalvular peak systolic PG was 73 mmHg. Coronary angiography revealed three‐vessel disease including 90% narrowing of LAD, 80% narrowing of the first diagonal branch (Diag), and 90% narrowing of mid left circumflex artery.