Extraction of irretrievable ruptured balloon during balloon aortic valvuloplasty using a bailout technique

Balloon rupture during the course of balloon aortic valvuloplasty (BAV) is an uncommon occurrence that can potentially lead to severe complications. We describe a case in which a balloon rupture occurred during BAV, resulting in challenges in retracting the balloon into the sheath. This issue was successfully addressed through an endovascular approach, thereby avoiding the necessity for surgical intervention. We present a case and outline key procedural considerations for bailout solutions.