Life-threatening pulmonary artery rupture during transcatheter tricuspid valve-in-ring implantation: case report and management strategies.

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

European Heart Journal: Case Reports Pub Date : 2025-08-16 eCollection Date: 2025-08-01 DOI:10.1093/ehjcr/ytaf351

Kadir Sadikoglu, Dilara Pay, Serkan Aslan, Gamze Babur Guler, Mehmet Erturk

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Abstract

Background: This case report highlights pulmonary artery rupture as a rare but severe complication during transcatheter valve-in-ring implantation (TVIRI). The case offers practical preventive strategies to enhance procedural safety in high-risk patients undergoing TVIRI.

Case summary: A 54-year-old female patient presented with severe tricuspid regurgitation due to annuloplasty ring failure. The TVIRI was complicated by pulmonary artery rupture, resulting in massive haemoptysis and haemodynamic collapse. The bleeding was successfully controlled by prompt management with balloon tamponade and selective embolization using an Amplatzer Vascular Plug 4.

Discussion: This case demonstrates the potential for life-threatening complications during TVIRI and highlights the importance of careful procedural planning, multidisciplinary collaboration, and prompt intervention to ensure patient safety.

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经导管三尖瓣环内瓣膜置入术中危及生命的肺动脉破裂：病例报告及处理策略。

背景：本病例报告强调肺动脉破裂是经导管环内瓣膜植入（TVIRI）中一种罕见但严重的并发症。该病例提供了实用的预防策略，以提高高危患者接受TVIRI的手术安全性。病例总结：一名54岁女性患者因环成形术环失效而出现严重的三尖瓣反流。TVIRI并发肺动脉破裂，导致大量咯血和血流动力学塌陷。通过球囊填塞和Amplatzer血管塞选择性栓塞的及时处理，出血得到了成功的控制。讨论：该病例表明TVIRI期间可能出现危及生命的并发症，并强调了仔细的手术计划、多学科合作和及时干预以确保患者安全的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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