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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.<\/jats:p>","DOI":"10.1136\/bcr-2024-262310","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T04:05:50Z","timestamp":1732766750000},"page":"e262310","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Anaesthesia for hybrid revascularisation and valve replacement in a high-risk patient"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2027-102X","authenticated-orcid":false,"given":"Jiele","family":"Li","sequence":"first","affiliation":[{"name":"Anesthesiology, Unidade Local de Saude de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6510-3690","authenticated-orcid":false,"given":"Gon\u00e7alo","family":"Ferraz-Costa","sequence":"additional","affiliation":[{"name":"Cardiology, Unidade Local de Saude de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Santos","sequence":"additional","affiliation":[{"name":"Anesthesiology, Unidade Local de Saude de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Anesthesiology, Unidade Local de Saude de Coimbra, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,11,27]]},"reference":[{"key":"2025082802384806000_17.11.e262310.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2008.07.002"},{"key":"2025082802384806000_17.11.e262310.2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.110.957951"},{"key":"2025082802384806000_17.11.e262310.3","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.jjcc.2016.09.007","article-title":"Cardiac surgery or interventional cardiology? 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