Bailout Strategies for Balloon Entrapment During TAVR in Type 0 Bicuspid Aortic Valve.

ABSTRACT:

Background

Balloon entrapment during transcatheter aortic valve replacement (TAVR) is a rare but serious complication, especially in patients with severe valve calcification.

Case summary

A 78-year-old woman with symptomatic severe aortic stenosis (peak velocity 7.23 m/s, preserved left ventricular ejection fraction 70%) underwent TAVR. After valve deployment, the balloon became entrapped within the prosthesis. Controlled postdilation was performed to disrupt the valve frame mesh, successfully releasing the balloon. The patient recovered well; at nearly 3 years of follow-up, she remains asymptomatic without rehospitalization for heart failure or neurologic events.

Discussion

This case highlights the role of controlled postdilation as a safe and effective bailout strat

SUBMITTER: Peng Y 

PROVIDER: S-EPMC12861642 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature