Rescue and Redeploy: Successful Valve-in-Valve Implantation After Transcatheter Aortic Valve Embolization

Carefully pulling back the embolized transcatheter aortic valve (TAV) to the area distal to the left subclavian artery is a viable salvage technique for embolized TAV. Another attempt of TAVR through the embolized valve can be safely performed, with careful monitoring of left ventricular capture during rapid pacing.Clinical Impact<b>Question:</b> Can transcatheter aortic valve (TAV) embolization be solved percutaneously? <b>Findings:</b> The semi-inflated embolized valve was successfully pulled back to a position just distal to the left subclavian artery. Subsequently, a second 26 mm valve was implanted through the embolized valve and deployed successfully in the correct position. <b>Results:</b> Carefully pulling back an embolized TAV to the descending aorta is a viable salvage technique for managing embolized TAV.