Key result
Balloon catheter successfully retrieves and repositions an atrial embolized valve, avoiding emergent surgery.
Why the study?
Valve embolization during transcatheter tricuspid valve-in-ring implantation is a rare but life-threatening complication requiring effective management strategies.
Case Report (n=1)
This case report demonstrates a novel balloon catheter technique for successfully retrieving and repositioning an atrial embolized valve during transcatheter tricuspid valve-in-ring implantation, avoiding emergent surgery.
Balloon catheter retrieval offers a nonsurgical bailout for embolized valves in tricuspid ViR; leaves open broader applicability pending additional cases.
Transcatheter tricuspid valve-in-ring implantation (TVIRI) has emerged as a viable therapy for high-risk patients with symptomatic severe tricuspid regurgitation after failure of tricuspid annuloplasty. However, there are potential complications associated with this minimally invasive procedure, including the rare but life-threatening occurrence of valve embolization during TVIRI. This report describes a rare case of atrial embolization of a balloon-expandable valve during TVIRI in a 67-year-old female patient. The embolized valve was successfully retrieved and repositioned with a balloon catheter, avoiding emergent surgery. This case illustrates a novel management strategy for valve embolization and provides valuable insight into the expanding field of structural heart interventions.
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Aslan et al. (2025) conducted a case report in Severe tricuspid regurgitation after failure of tricuspid annuloplasty with valve embolization during TVIRI (n=1). Retrieval and repositioning with a balloon catheter was evaluated on Successful retrieval and repositioning of the embolized valve. An atrial embolized balloon-expandable valve during transcatheter tricuspid valve-in-ring implantation was successfully retrieved and repositioned using a balloon catheter, avoiding emergent surgery.
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