Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Permanent Pacemaker Lead Induced Severe Tricuspid Regurgitation in Patient Undergoing Multiple Valve Surgery

  • Lee, Jung Hee (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Tae Ho (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Wook Sung (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2014.07.08
  • Accepted : 2014.11.05
  • Published : 2015.04.05
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Abstract

Severe and permanent tricuspid regurgitation induced by pacemaker leads is rarely reported in the literature. The mechanism of pacemaker-induced tricuspid regurgitation has been identified, but its management has not been well established. Furthermore, debate still exists regarding the proper surgical approach. We present the case of a patient with severe tricuspid regurgitation induced by a pacemaker lead, accompanied by triple valve disease. The patient underwent double valve replacement and tricuspid valve repair without removal of the pre-existing pacemaker lead. The operation was successful and the surgical procedure is discussed in detail.

Keywords

References

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  1. Multi-site multi-polar left ventricular pacing through persistent left superior vena cava in tricuspid valve disease vol.17, pp.5, 2015, https://doi.org/10.1016/j.ipej.2017.05.008
  2. Severe tricuspid regurgitation due to interactions with right ventricular permanent pacemaker or defibrillator leads vol.41, pp.7, 2018, https://doi.org/10.1111/pace.13369
  3. Tricuspid insufficiency after cardiac-implantable electronic device placement vol.11, pp.6, 2015, https://doi.org/10.1080/20009666.2021.1967569