This case involves a male patient who suffered a devastating ischemic stroke shortly after undergoing an aortic stent repair for an aortic arch aneurysm. A covered stent was placed after aortic stenosis and a pseudoaneurysm were found. Subsequently, the stent fractured, and a piece lodged in the patient’s right leg. It was recommended that stainless steel stents be placed inside the fractured stent to hold it in place. After the procedure was completed, the patient was slow to emerge after extubation, and a nurse noted right hemiparesis. The neurology team was called to his bedside, and a CT scan revealed a cerebral artery infarction with possible anterior cerebral artery thrombus. The next day, he was discharged to another medical center after further scans demonstrated evolution of the cerebral artery infarction and anterior cerebral artery infarctions, as well as an occlusion of the right internal carotid artery. The patient suffered serious cognitive and neurological deficits from his stroke, and will require a lifetime of ongoing care.