# Transapical aortic valve replacement and concomitant coronary bypass grafting in on-pump beating fashion: a case report

## TL;DR

A rare case of combined heart procedures is reported for an elderly patient with complex heart conditions.

## Contribution

This case report presents a novel approach combining two procedures in a high-risk patient.

## Key findings

- Transapical aortic valve replacement was performed in a beating heart on-pump fashion.
- Concomitant coronary bypass grafting was successfully executed in the same procedure.
- The approach was suitable for a patient with porcelain aorta and prior aortic surgery.

## Abstract

Herein, we report a case of transapical transcatheter aortic valve replacement and coronary artery bypass grafting performed in an on-pump beating fashion in an old woman with severe aortic valve stenosis, a porcelain aorta, severe calcified coronary artery disease, and a history of abdominal aortic replacement.