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

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