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- Title
Severe tricuspid valve stenosis secondary to pacemaker leads presenting as ascites and liver dysfunction: a complex problem requiring a multidisciplinary therapeutic approach.
- Authors
Anita Krishnan; Achintya Moulick; Pranava Sinha; Karen Kuehl; Joshua Kanter; Michael Slack; Jonathan Kaltman; Marco Mercader
- Abstract
Abstract Tricuspid stenosis secondary to ventricular pacemaker leads is uncommon. We present a unique case of iatrogenic tricuspid stenosis secondary to fusion of the valve leaflets to transvenous implanted pacing leads. This occurred in an adult with childhood repaired Tetralogy of Fallot and high grade surgical heart block following multiple pacemaker procedures. The case was complicated by superior vena cava (SVC) and innominate vein stenosis secondary to implanted pacing leads, severe tricuspid valve (TV) stenosis, perforation of the heart by one of the implanted transvenous ventricular pacing leads, prolapse of the transvenous atrial pacing lead into the right ventricle, and unusual coronary sinus anatomy. We describe a multidisciplinary approach to management.
- Subjects
RIGHT heart ventricle; HEART ventricles; VENA cava superior; BILIARY tract
- Publication
Journal of Interventional Cardiac Electrophysiology, 2009, Vol 24, Issue 1, p71
- ISSN
1383-875X
- Publication type
Article
- DOI
10.1007/s10840-008-9309-z