Based on the multidimensional irreducible paving of De March & Touzi, we provide a multi-dimensional version of the quasi sure duality for the martingale optimal transport problem, thus extending the result of Beiglböck, Nutz & Touzi. Similar, we also prove a disintegration result which states a natural decomposition of the martingale optimal transport problem on the irreducible components, with pointwise duality verified on each component. As another contribution, we extend the martingale monotonicity principle to the present multi-dimensional setting. Our results hold in dimensions 1, 2, and 3 provided that the target measure is dominated by the Lebesgue measure. More generally, our results hold in any dimension under an assumption which is implied by the Continuum Hypothesis. Finally, in contrast with the one-dimensional setting of Beiglböck, Lim & Obloj, we provide an example which illustrates that the smoothness of the coupling function does not imply that pointwise duality holds for compactly supported measures.