Figure 1.

A, Careful dissection is initiated between the Valsalva sinus and the frame of transcatheter aortic valve replacement (TAVR) valve. B, After securing space for a surgical nipper by careful dissection, the frame is cut in stages until the bottom of the frame and the radial force is released. C, Once the frame of the TAVR valve is completely divided, the end of the divided valve is grasped with a Kelly clamp and carefully peeled off the TAVR valve from the Valsalva sinus and aortic annulus by wrapping the TAVR valve around the Kelly clamp to facilitate careful dissection of the adhesions around the TAVR valve by electrocautery.