Introduction: The transcatheter aortic valve implantation in the treatment of high-risk symptomatic aortic stenosis has increased the number of implants every year. The learning curve for transcatheter aortic valve implantation has improved since the last 12 years, allowing access alternatives. Objective: The aim of this study is to approach the implantation of transcatheter aortic valve through transaortic via associated with off-pump cardiopulmonary bypass surgery in a 67-year-old man, with chronic obstructive pulmonary disease, arterial hypertension and kidney transplant. Methods: Off-pump coronary artery bypass surgery was performed and the valve in the aortic position was released successfully. Results: There were no complications in the intraoperative and postoperative period. Gradient reduction, effective orifice increasing of the prosthesis and absence of valvular regurgitation after implantation were observed by transesophageal echocardiography. Conclusion: Procedural success demonstrates that implantation of transcatheter aortic valve through the ascending aorta associated with coronary artery bypass surgery without CPB is a new option for these patients.294650653Gallavardin, L., Ravault, P., The murmur of aortic stenosis undergoes a change in timbre becoming musical when radiating to the apex (1925) Lyon Med, 135, pp. 523-529Bull, B.S., Huse, W.M., Brauer, F.S., Korpman, R.A., Heparin therapy during extracorporeal circulation, II. The use of a dose-response curve to individualize heparin and protamine dosage (1975) J Thorac Cardiovasc Surg, 69 (5), pp. 685-689Bapat, V.N., Attia, R.Q., Thomas, M., Distribution of calcium in the ascending aorta in patients undergoing transcatheter aortic valve implantation and its relevance to the transaortic approach (2012) JACC Cardiovasc Interv, 5 (5), pp. 470-476Cribier, A., Eltchaninoff, H., Bash, A., Boronstein, N., Tron, C., Bauer, F., Percutaneous trancatheter implantation of an aortic valve prosthesis for calcific aortic stenosis: First human case description (2002) Circulation, 106 (24), pp. 3006-3008Leon, M.B., Smith, C.R., Mack, M., Miller, C., Moses, J.W., Svensson, L.G., PARTNER Trial Investigators. Transcatheter aortic valve implantation for aortic stenoses in patients who cannot undergo surgery (2010) N Engl J Med, 363 (17), pp. 1597-1607Gaia, D.F., Palma, J.H., Ferreira, C., Souza, J., Agreli, G., Guilhen, J., Implante transapical de valva aórtica: Resultados de uma nova prótese brasileira (2010) Rev Bras Cir Cardiovasc, 25 (3), pp. 293-302Pontes, J., Duarte, J.J., Silva, A.D., Gardenal, N., Dias, A., Benfatti, R.A., Experiência inicial e pioneira do implante de valva aórtica transcateter (Inovare) por via femoral ou ilíaca (2013) Rev Bras Cir Cardiovasc, 28 (2), pp. 208-216Bapat, V., Khawaja, M.Z., Attia, R., Narayana, A., Wilson, K., Macgillivray, K., Transaortic Transcatheter Aortic valve implantation using Edwards Sapien valve: A novel approach (2012) Catheter Cardiovasc Interv, 79 (5), pp. 733-740Mandegar, M.H., Nazeri, I., Abdi, S., Roshanali, F., Successful transcatheter aortic valve implantation through ascending aorta and total revascularization using Edwards SAPIEN Transcatheter Heart Valve System (2011) Ann Thorac Surg, 92 (6), pp. 2262-2263