1 | INTRODUCTION
AVB is a surgical procedure to widen the area of the left ventricular tract by constructing a valved conduit through the cardiac apex and the descending aorta. It has been considered that AVB is an alternative technique to traditional methods for high-risk AS patients, since there is no need for sternotomy, aortic cross-clamping, cardioplegic cardiac arrest, incision of ascending aorta and debridement1. Here, we report the case of a high-risk symptomatic AS female with contraindications to SAVR, TAVI and balloon aortic valvotomy, in whom favorable results were obtained after constructing aortic valve bypass.