Korean J Med.
2018 Apr;93(2):211-215. 10.3904/kjm.2018.93.2.211.
Transvenous Implantation of an Implantable Cardioverter Defibrillator in a Patient Who Had Undergone Tricuspid Valve Replacement
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. jason@yuhs.ac
- KMID: 2435186
- DOI: http://doi.org/10.3904/kjm.2018.93.2.211
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.
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