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We report the case of an 84-year-old man who presented with severe aortic stenosis, coronary artery in-stent stenosis, atrial fibrillation and significant aortoiliac disease. The patient was successfully treated with simultaneous transaortic transcatheter aortic valve implantation, coronary artery bypass grafting and pulmonary vein isolation through median sternotomy without the use of cardiopulmonary bypass.

Simultaneous Transaortic Transcatheter Aortic Valve Implantation, OffPump Coronary Artery Bypass Grafting and Pulmonary Vein Isolation