Surgical challenges in retrieval of an embolized transcatheter valve from the aorta.

Abstract Embolization of a transcatheter aortic valve is a rare complication. Surgery is required if percutaneous retrieval is not possible. We present a case of embolization of an evolut R device (Medtronic, Minneapolis, Minnesota) into the ascending aorta. This device due to its taller profile presents unique surgical challenges in retrieval with respect to arterial access and cross clamping of the aorta. Prior knowledge of the profile of the various devices is critical in order to ensure a safe retrieval and smooth conduct of the operation.