Severe tricuspid regurgitation due to interactions with right ventricular permanent pacemaker or defibrillator leads

Pacing and Clinical Electrophysiology : PACE
Cory R TrankleGautham Kalahasty

Abstract

Although thought to be a rare event, permanent pacemakers and implantable cardioverter-defibrillators with right ventricular intracardiac leads have the potential to induce tricuspid valve dysfunction. Adverse lead-valve interactions can take place through a variety of mechanisms including damage at the time of implantation, leaflet pinning, or long-term fibrosis encapsulating the leaflet tissue. Clinical manifestations can display a wide range of severity, as well as a highly variable time span between implantation and hemodynamic deterioration. This review aims to describe the potential pathophysiologic effects of intracardiac device leads on the tricuspid valve, with a focus on ideal diagnostic strategies and treatment options once lead-induced valvular dysfunction is suspected.

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Citations

Aug 11, 2018·Current Treatment Options in Cardiovascular Medicine·Samuel M KimJonathan N Ginns
May 21, 2020·Frontiers in Cardiovascular Medicine·Mirjam G WinkelFabien Praz
Apr 24, 2021·Pacing and Clinical Electrophysiology : PACE·Domenico GriecoLeonardo Calò
Sep 7, 2020·Archives of Cardiovascular Diseases·Christophe GarwegRik Willems

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