Recently, our cardiovascular surgery department successfully performed aortic valve replacement surgery for an 85-year-old man. The patient was admitted to our hospital with “intermittent palpitations and shortness of breath for 2 years, aggravated for 1 month”. After admission, he was clearly diagnosed with heart valve disease and severe aortic stenosis. The patient also suffered from hypertension, diabetes, coronary arteriosclerosis and other comorbidities. The cardiac surgery department determined the surgical treatment plan after careful preparation and whole department discussion. Under the successful guarantee of cardiovascular surgery anesthesia and extracorporeal circulation, Prof. Jiang Shengli performed the surgery for the old man, removing the severely calcified stenosis of the autologous aortic valve and successfully implanting an artificial biological valve. The operation lasted only 3.5 hours and went very smoothly. The patient was extubated on the first day after surgery and was able to eat. The old man recovered well and was moved out of the care unit three days after the surgery and was discharged 10 days after the surgery without complications. Heart valve disease is a common disease in China, which seriously affects people’s health and life. Generations of cardiovascular surgeons in our hospital have carried out unremitting research in this field and obtained many achievements. Especially in recent years, on the basis of inheriting the achievements of several generations, the specialized treatment group of cardiac surgery for valvular disease has made great efforts to learn, innovate, practice and climb to the top, and has achieved fruitful results in the surgical treatment of critical heart valve diseases, including elderly valvular disease, and the success rate of surgery and the incidence of perioperative complications are among the leading levels in China, which has achieved good social and economic benefits. Patients with advanced heart valve disease have long disease duration, decreased organ function, and poorer ability to withstand surgical blows than the general population, so the surgical technique is particularly demanding and the surgical risk is extremely high, especially for heart valve surgery over 80 years old, which is less reported in China. In recent years, our hospital has successfully completed more than ten cases of heart valve surgery over 80 years old. The success of this case of aortic valve replacement surgery in an 85-year-old female patient marks a new breakthrough in the surgical treatment of geriatric valve disease after generations of efforts and inheritance of our cardiovascular surgery department, and the surgical treatment level of critical heart valve disease represented by geriatric valve disease has reached a new height.