Severe Tricuspid Regurgitation in a Patient with a Transvenous Dual-chamber Pacemaker: Considerations for Diagnosis and Management

Sami H Ibrahim; Pamela K Mason

doi:10.1016/j.ccep.2023.10.016

Severe Tricuspid Regurgitation in a Patient with a Transvenous Dual-chamber Pacemaker: Considerations for Diagnosis and Management

Card Electrophysiol Clin. 2024 Jun;16(2):157-161. doi: 10.1016/j.ccep.2023.10.016. Epub 2023 Nov 18.

Authors

Sami H Ibrahim¹, Pamela K Mason²

Affiliations

¹ University of Virginia, Box 800158, Charlottesville, VA 22908, USA.
² University of Virginia, Box 800158, Charlottesville, VA 22908, USA. Electronic address: PKM5F@uvahealth.org.

PMID: 38749635
DOI: 10.1016/j.ccep.2023.10.016

Abstract

Cardiac implantable electronic device leads can contribute to tricuspid regurgitation and also complicate surgical and transcatheter interventions to manage tricuspid regurgitation. Here we present a case of a patient with sinus node dysfunction and complete heart block who underwent extraction of a right ventricular pacing lead before tricuspid valve surgery. We review the data regarding the contribution of leads to tricuspid regurgitation and the benefits of lead extraction, risks of jailing leads during tricuspid interventions, and pacing considerations around tricuspid valve procedures.

Keywords: Cardiac implantable electronic devices; Lead extraction; Leadless pacing; Tricuspid regurgitation.

Publication types

Case Reports
Review

MeSH terms

Aged
Female
Heart Block / therapy
Humans
Male
Pacemaker, Artificial* / adverse effects
Tricuspid Valve / diagnostic imaging
Tricuspid Valve / surgery
Tricuspid Valve Insufficiency* / surgery