Transvenous Implantation of an Implantable Cardioverter Defibrillator in a Patient Who Had Undergone Tricuspid Valve Replacement.
10.3904/kjm.2018.93.2.211
- Author:
Yun Jeong LEE
1
;
Jae Sun UHM
;
Tae Hoon KIM
;
Boyoung JOUNG
;
Hui Nam PAK
;
Moon Hyoung LEE
;
Jong Won HA
Author Information
1. Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. jason@yuhs.ac
- Publication Type:Case Report
- Keywords:
Implantable cardioverter-defibrillator;
Tricuspid valve replacement;
Cardiac vein
- MeSH:
Aged;
Death, Sudden, Cardiac;
Defibrillators*;
Defibrillators, Implantable;
Female;
Heart Ventricles;
Humans;
Tricuspid Valve*;
Veins
- From:Korean Journal of Medicine
2018;93(2):211-215
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transvenous implantation of an implantable cardioverter defibrillator in patients with a prosthetic valve in the tricuspid position is difficult because a defibrillator lead cannot be implanted into the right ventricle through the prosthetic valve. Hence, there are three options: epicardial implantation, subcutaneous implantable cardioverter defibrillator implantation, and cardiac vein implantation. Here, we report the transvenous implantation of an implantable dual-chamber cardioverter defibrillator in a patient who had undergone tricuspid valve replacement with a prosthetic valve. The patient was a 70-year-old female with a prosthetic valve in the tricuspid position who had experienced two events of sudden cardiac arrest. We successfully performed the procedure by implanting the defibrillator lead into the middle cardiac vein.
