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 |
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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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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.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2016.08.029</identifier><identifier>PMID: 28109394</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>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</subject><ispartof>The Annals of thoracic surgery, 2017-02, Vol.103 (2), p.e207-e208</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2017 The Society of Thoracic Surgeons</rights><rights>Copyright © 2017 The Society of Thoracic Surgeons. 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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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