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Background Real-time magnetic resonance imaging (rtMRI) provides intraoperative guidance for TAVR.Our group has successfully performed transapical aortic valve replacements using rtMRI guidance.Sorin Sutureless PercevalTM S valve (Sorin Group,Saluggia,Italy) is CE mark approved and is indicated for both standard and minimally invasive surgical replacement of the aortic valve in patients suffering from aortic stenosis and steno-insufficiency.The preliminary results of a European multicenter pilot trial confirmed the safety and efficacy of the Perceval S sutureless aortic valve in high-risk cohort of patients.The nitinol alloy frame displays no significant artifacts in MRI and its self-expanding mechanism potentially allows the valve to be delivered through transcatheter approach.