Transapical aortic valve implantation has become a routine procedure to treat high-risk patients in some centers. To facilitate optimal positioning, a new self-centering valve design with anatomic orientation of the commissures has been developed. This self-expanding nitinol stent-based valve has 3 support arms that are placed within the aortic sinuses. Here we report implantation of this new valve in a patient. The valve demonstrated excellent function with a low transvalvular gradient.