Korean J Thorac Cardiovasc Surg.  2015 Apr;48(2):129-133. 10.5090/kjtcs.2015.48.2.129.

Permanent Pacemaker Lead Induced Severe Tricuspid Regurgitation in Patient Undergoing Multiple Valve Surgery

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. wooksungkim@yahoo.com

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.

Keyword

Permanent pacemaker lead; Tricuspid valve repair; Tricuspid valve insufficiency; Pacemaker

MeSH Terms

Humans
Tricuspid Valve
Tricuspid Valve Insufficiency*
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