Video Supplement to ‚ÄúRescue Implantation of Covered Stent in Pulmonary Artery Rupture During Balloon Pulmonary Angioplasty" [November 2018 Clinical Images article by Araszkiewicz et al.]
The ring-like lesions in chronic thromboembolic pulmonary hypertension (CTEPH) patients are sometimes difficult to dilate because they are hard and fibrotic. For this reason, slightly oversized balloons are used; however, this may result in an increased risk of vessel rupture. We present a 62-year-old female with residual pulmonary hypertension after pulmonary endarterectomy for CTEPH who underwent balloon pulmonary angioplasty with subsequent rupture. The following angiographic study shows the rupture and subsequent implantation of a covered stent to protect the ruptured vessel.