Surgical Explantation for Embolized Transcatheter Aortic Valve Replacement Valve at Distal Aortic Arch

The patient was a 65-year-old man with a history of symptomatic aortic stenosis for which he underwent transcatheter aortic valve replacement (TAVR) with a 26-mm balloon-expandable valve through right femoral artery access. The TAVR valve embolized in the distal transverse arch. An additional 29-mm balloon-expandable valve was deployed at the aortic annulus successfully, and the embolized valve remained in the distal arch. The patient subsequently underwent surgical explantation of the embolized valve with central cannulation and deep hypothermic circulatory arrest. The transverse aortic arch was opened, and the embolized valve was removed. His postoperative course was uncomplicated. He was discharged home on postoperative day 6.