Aslan Serkan, Guler Gamze Babur, Yalcin Ahmet Arif, Erturk Mehmet
Department of Cardiology, University of Health Sciences Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
Catheter Cardiovasc Interv. 2025 Jul;106(1):674-679. doi: 10.1002/ccd.31602. Epub 2025 May 19.
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.
经导管三尖瓣环内瓣膜植入术（TVIRI）已成为三尖瓣成形术失败后有症状的严重三尖瓣反流高危患者的一种可行治疗方法。然而，这种微创手术存在潜在并发症，包括TVIRI期间罕见但危及生命的瓣膜栓塞情况。本报告描述了一名67岁女性患者在TVIRI期间发生球囊扩张瓣膜心房栓塞的罕见病例。通过球囊导管成功取出并重新定位了栓塞的瓣膜，避免了急诊手术。该病例说明了瓣膜栓塞的一种新管理策略，并为不断扩展的结构性心脏干预领域提供了有价值的见解。
