Iatrogenic migration of iliac stent graft that was implanted for the reason of iliac artery perforation at the beginning of TAVI into the ascending aorta during the procedure

Abstract Introduction Vascular complications are one of the substantial complications of transcatheter aortic valve implantation (TAVI). Stent graft implantation is a powerful tool for managing them. Case presentation This article describes a case of iliac artery perforation by 10 Fr sheath in an 86-year-old female at the beginning of the TAVI procedure that was solved by stent graft implantation. However, the stent graft was later unintentionally dislocated into the ascending aorta during repeated attempts of sheath and guiding wire introduction. Finally, the migrated stent graft was successfully extracted using a loop snare device. Conclusions This article highlights the fact that armamentarium passage through an implanted stent graft, especially when newly deployed, can be tricky and should be done gently and carefully, optimally under fluoroscopic guidance. The permanent multidisciplinary team realizes TAVI can be advantageous for immediate management of difficult clinical situations.