[摘要]目的总结经导管主动脉瓣膜置换(TAVI)手术结合小切口不停搏冠状动脉旁路移植手术(MID`-CAB)的治疗体会。方法1例主动脉瓣膜重度狭窄老年女性，合并冠状动脉前降支严重钙化狭窄，在杂交手术室全麻下完成经左侧第4肋间小切口的MID`-CAB手术，后经左侧颈总动脉植入TAVI瓣膜。结果病人手术后恢复顺利，因术后并发Ⅲ度房室传导阻滞安装心脏永久起搏器，无其他并发症。结论TAVI+MID`-CAB治疗高危的主动脉瓣膜疾病合并冠心病病人安全有效。

    [关键词]人工心脏瓣膜;冠状动脉旁路移植术，非体外循环;主动脉瓣狭窄;冠状动脉疾病;最小侵入性外科手术;病例报告

    [ABSTRACT]ObjectiveTo summarize the experience in transcatheter aortic valve implantation (TAVI) combined with minimally invasive direct coronary artery bypass surgery (MID`-CAB). MethodsAn elderly woman with severe aortic valve stenosis and severe calcification and stenosis of the anterior descending coronary artery underwent MID`-CAB via a small incision at the left fourth intercostal space ......