Balloon rupture, 26mm - 1cc for area 425-440, moderate at most calcium. Heard about this but have not had it happen. My step-by-step: @IvanHansonMD@amrabbasmd@LuaySayed@sean_stewartmd@noon_boiler55@dhrosenbaum#CardioTwitter
1/assess valve stability, is it fully deployed/secure?
2/assess patient stability, annular rupture/effusion?
3/get fractured balloon out of ventricle, 👁 as 👃cone comes through valve, likely winged and plastic is rigid. Prepare to snare from contralateral to deflect if needed