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

## TL;DR

A 65-year-old man had a TAVR valve that moved to the aortic arch, requiring surgery to remove it after a second valve was placed.

## Contribution

Describes a rare case of TAVR valve embolization and successful surgical removal using central cannulation and hypothermic arrest.

## Key findings

- The embolized TAVR valve was successfully removed via surgical explantation.
- The patient had an uncomplicated recovery and was discharged on postoperative day 6.
- Central cannulation and deep hypothermic circulatory arrest were used during the procedure.

## Abstract

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.