Open superior mesenteric artery thrombectomy of dislodged aortic valve causing acute mesenteric ischemia

Transcatheter aortic valve replacement (TAVR) is preferred for severe aortic stenosis in elderly, high-risk patients.We report a case of a 96-year-old woman who developed acute mesenteric ischemia from embolization of native heart valve after TAVR and highlight the key management steps that enabled successful revascularization and bowel preservation and the decision making between surgical and endovascular mesenteric thrombectomy.