{"title":"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。","authors":"Kadir Sadikoglu, Dilara Pay, Serkan Aslan, Gamze Babur Guler, Mehmet Erturk","doi":"10.1093/ehjcr/ytaf351","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Case summary: </strong>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.</p><p><strong>Discussion: </strong>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.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 8","pages":"ytaf351"},"PeriodicalIF":0.8000,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451689/pdf/","citationCount":"0","resultStr":"{\"title\":\"Life-threatening pulmonary artery rupture during transcatheter tricuspid valve-in-ring implantation: case report and management strategies.\",\"authors\":\"Kadir Sadikoglu, Dilara Pay, Serkan Aslan, Gamze Babur Guler, Mehmet Erturk\",\"doi\":\"10.1093/ehjcr/ytaf351\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Case summary: </strong>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.</p><p><strong>Discussion: </strong>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.</p>\",\"PeriodicalId\":11910,\"journal\":{\"name\":\"European Heart Journal: Case Reports\",\"volume\":\"9 8\",\"pages\":\"ytaf351\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-08-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451689/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Heart Journal: Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1093/ehjcr/ytaf351\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Heart Journal: Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/ehjcr/ytaf351","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Life-threatening pulmonary artery rupture during transcatheter tricuspid valve-in-ring implantation: case report and management strategies.
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.