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Concomitant Transapical Transcatheter Aortic Valve Replacement and Off-Pump Coronary Artery Revascularization Yuki Kuroda, Yoshio Arai, Keisuke Hakamada, Masafumi Kudo, Takashi Tsuji, Hiroo Teranishi, Hideki Tsubota and Michiya Hanyu(Department of Cardiovascular Surgery, Kokura Memorial Hospital, Kita-Kyushu, Japan) An 84-year-old woman with severe aortic stenosis(AS)and coronary artery disease(CAD)was admitted repeatedly with syncope and heart failure. Due to her comorbidities, concomitant transapical transcatheter aortic valve replacement(TAVR)and off-pump coronary artery bypass grafting (OPCAB)were performed. She did well postoperatively. CAD is often found concurrently in patients presenting with severe symptomatic AS. Concomitant TAVR and OPCAB is considered as a less invasive and more feasible treatment option in high-risk patients. Jpn. J. Cardiovasc. Surg. 46 : 119-121(2017)