| Summary: | Abstract Background Reducing postoperative pain due to the thoracotomy incisions in patients undergoing transapical transcatheter aortic valve implantation remains a challenge. Methods We introduced ultrasound-guided serratus anterior plane block (SAPB) in a patient with severe aortic insufficiency and chronic obstructive pulmonary disease before surgical intervention. Results The patient’s postoperative 1 h, 4 h, and 12 h resting visual analogue scale scores were 3, 1, and 1 without single injection of morphine or dezocine for rescue analgesia. Conclusions Ultrasound-guided SAPB could improve analgesia after transapical transcatheter aortic valve implantation.
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