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

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.

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.

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.