ECG showed ectopic rhythm, atrial fibrillation and abnormal T waves. Coronary angiography showed there was a 90% stenosis in the initial segment of PLA. The preoperative echocardiography showed that pacemaker implantation, double atriums enlargement, severe tricuspid regurgitation (reflux size 11.3cm2), mild pulmonary hypertension, mild mitral regurgitation and patent foramen ovale. However, after that, she felt discomfort in precordial area and this symptom became worse and worse from 4 years ago. The PPM was Medtronic, Serial BBD163588V, Type 4074. Owing to severe atrioventricular block, she received a one-lead permanent pacemaker (PPM) implantation without any co-morbidities on December 6th, 2006. The patient suffered from atrial fibrillation 21 years ago without obvious discomfort and received no regular treatment. Ī 64-year-old woman was checked in for discomfort in precordial area. With the aging of the population and the expanding use of pacemakers and Implantable Cardioverter Defibrillators (ICD) in clinical practice, this complication may be seen more frequently. The electrode lead implantation of endocardial permanent pacemaker (PPM) should come through the Tricuspid Valve (TV), while the mechanical friction of the pacing lead or secondary to atrioventricular discordance with asynchronous ventricular pacing can cause structural lesions or deformity of the TV by and finally lead to Tricuspid Regurgitation (TR). This patient recovered uneventfully, with only mild tricuspid valve regurgitation by echocardiography after one year of follow-up. We fixed the lead to the posterior septal commissure, used 28 # Edwards MC3 ring to annulus form the tricuspid valve ring and then sutured the posterior septal commissure by edge to edge. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Ī 64-year-old woman, received implantation of a Permanent Pace Maker (PPM) 7 years ago, was referred for severe tricuspid valve regurgitation with a lead impingement of the tricuspid valve leaflets. Received: Octo| Accepted: Novem| Published: November 24, 2014Ĭitation: Jiang W, Li H, Guo D, Lai Y, Zhang H (2014) Surgical Treatment of Severe Tricuspid Valve Regurgitation Due to Permanent Pacemaker. *Corresponding author: Hongjia Zhang, M.D and Yongqiang Lai, M.D, Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, No.2 Anzhen Street, Beijing 100029, China, E-mail: J Clin Cardiol, IJCC-1-009, (Volume 1, Issue 2), Case Report ISSN: 2378-2951
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