Transcatheter aortic valve replacement is a viable alternative for patients who are too high risk for traditional surgical aortic valve replacement, but it is not without risk of vascular complication. We report a case in which a hybrid stent and bypass graft technique was used to repair a complete iliofemoral artery avulsion after a transcatheter aortic valve replacement procedure. We believe that particular caution should be taken with patients with peripheral arterial disease in access vessels. Access vessel diameter must be considered in planning of procedures, and preprocedural preparation for potential major vascular complications is crucial for reducing morbidity and mortality.
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