Pacemaker lead-induced tricuspid stenosis treated with percutaneous valvotomy

Background. Tricuspid stenosis is an uncommon complication of ventricular pacemaker electrode implantation, with few cases reported in the literature. Case. We present an 18-year-old male who developed severe tricuspid stenosis 15 years after endocardial VVI pacemaker implantation for complete AV block following a surgically repaired ventricular septal defect. Conclusion. In this case we have shown that percutaneous balloon valvuloplasty was performed and successful in treating this complication.

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1. Rosenberg Y, Myatt JP, Feldman M, et al. Down to the wire: tricuspid stenosis in the setting of multiple pacing leads. Pacing Clin Electrophysiol 2010; 33: e49-e52.

2. Hussain T, Knight WB, McLeod KA. Lead-induced tricuspid stenosis-successful management by balloon angioplasty. Pacing Clin Electrophysiol 2009; 32: 140-142.

3. Krishnan A, Moulick A, Sinha P, et al. Severe tricuspid valve stenosis secondary to pacemaker leads presenting as ascites and liver dysfunction: a complex problem requiring a multidisciplinary therapeutic approach. J Interv Card Electrophysiol 2009; 24: 71-75.

4. Rama-Merchan JC, Arribas-Jimenez A, MartinMoreiras J, Garcia-Fernandez E, Cruz-Gonzalez I. Pacemaker lead-related tricuspid stenosis successfully treated with percutaneous balloon valvuloplasty guided by 3D echocardiography. Rev Port Cardiol 2014; 33: 739.e1-e3.

5. Michiels V, Delabays A, Eeckhout E. Percutaneous balloon valvotomy for the treatment of pacemaker lead-induced tricuspid stenosis. Heart 2014; 100: 352.

6. Patil DV, Nabar AA, Sabnis GR, Phadke MS, Lanjewar CP, Kerkar PG. Percutaneous tricuspid valvotomy for pacemaker lead-induced tricuspid stenosis. Indian Heart J 2015; 67(Suppl 3): S115-S116.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
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