Lead-Sparing Tricuspid Valve Repair Damaged by Pacemaker Lead

Permanent pacemaker lead may damage the tricuspid valve in various ways, causing severe tricuspid valve regurgitation. The perforation of posterior papillary muscle is an uncommon complication caused by the lead. We describe a lead-sparing tricuspid valve repair in which the lead extraction was not...

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Veröffentlicht in:The Annals of thoracic surgery 2017-02, Vol.103 (2), p.e207-e208
Hauptverfasser: Shaikhrezai, Kasra, FRCS, Bartnik, Aleksandra, MRCS, Khorsandi, Maziar, MRCS, Hunter, Steven, FRCS
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container_end_page e208
container_issue 2
container_start_page e207
container_title The Annals of thoracic surgery
container_volume 103
creator Shaikhrezai, Kasra, FRCS
Bartnik, Aleksandra, MRCS
Khorsandi, Maziar, MRCS
Hunter, Steven, FRCS
description Permanent pacemaker lead may damage the tricuspid valve in various ways, causing severe tricuspid valve regurgitation. The perforation of posterior papillary muscle is an uncommon complication caused by the lead. We describe a lead-sparing tricuspid valve repair in which the lead extraction was not an option. The papillary muscle containing the lead was fully mobilized to release the adherent leaflets. The repair was completed by commissuroplasty as well as ring annuloplasty, leaving the lead inside the implanted ring.
doi_str_mv 10.1016/j.athoracsur.2016.08.029
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source MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library
subjects Aged
Cardiac Surgical Procedures - methods
Cardiothoracic Surgery
Echocardiography
Female
Humans
Pacemaker, Artificial - adverse effects
Papillary Muscles - surgery
Surgery
Tricuspid Valve - diagnostic imaging
Tricuspid Valve - injuries
Tricuspid Valve - surgery
Tricuspid Valve Insufficiency - diagnosis
Tricuspid Valve Insufficiency - surgery
title Lead-Sparing Tricuspid Valve Repair Damaged by Pacemaker Lead
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