Apicoaortic valved conduit is a good alternative for aortic stenosis with porcelain aorta after off-pump coronary artery bypass grafting.

We report a case of aortic stenosis with porcelain aorta using an apicoaortic valved conduit after 'aortic no touch' off-pump coronary artery bypass grafting. Apicoaortic valved conduit is a good surgical option for this patient to avoid re-entry through the sternum, injury to patent graft and manipulation of the porcelain ascending aorta.