A transcutaneous implantable access port for removal and/or return of fluids of a patient comprises a fixation unit adapted to be fixed to a bone of the patient; a valve unit comprising a sealing membrane at its distal end and one or more chambers; an internal conduit fluidly connectable to vascular structure of the patient and releasably connectable to the valve unit to establish fluidic communication between the internal conduit and said one or more chambers; and an extracorporeal connecting member having an end portion. The extracorporeal connecting member is connectable to the distal end of the valve unit, opening and closing a fluidic passage between the connecting member and said one or several chambers when the connecting member is respectively connected to the access port and withdrawn therefrom. The access port can be used for high volume removal and/or return of blood or other fluids from the patient.