Permanent Pacemaker Lead Induced Severe Tricuspid Regurgitation in Patient Undergoing Multiple Valve Surgery.
10.5090/kjtcs.2015.48.2.129
- Author:
Jung Hee LEE
1
;
Tae Ho KIM
;
Wook Sung KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. wooksungkim@yahoo.com
- Publication Type:Case Report
- Keywords:
Permanent pacemaker lead;
Tricuspid valve repair;
Tricuspid valve insufficiency;
Pacemaker
- MeSH:
Humans;
Tricuspid Valve;
Tricuspid Valve Insufficiency*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2015;48(2):129-133
- CountryRepublic of Korea
- Language:English
-
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.