Tricuspid valve repair in the presence of a permanent ventricular pacemaker lead

Abstract

Patients with a pre-existing PPL, who require TV surgery for significant TR, however without evidence of PPL-induced TR, can undergo TV repair without removal of the PPL. In patients with evidence of PPL-related TR, we suggest PPL removal followed by insertion of an epicardal or transcoronary sinus lead.

Isolated tricuspid valve surgery in patients with previous cardiac surgery

“…McCarthy and coworkers 4 described transtricuspid permanent pacemaker leads as a risk factor for postoperative failure of TV repair and concluded that all permanent pacemaker leads should be removed intraoperatively and replaced epicardially. In our own experience, 12 we prefer to replace permanent pacemaker leads during TV repair only if they seem to interfere with TV leaflet mobility when tested on the beating heart intraoperatively.…”

“…12,15 The current study has some limitations, not only because of its retrospective nature. Our patient population is small because of the rarity of patients requiring isolated reoperative TV surgery.…”

Tricuspid regurgitation after implantable cardioverter-defibrillator implantation in patients with arrhythmogenic right ventricular cardiomyopathy

“…Several mechanisms may be involved in this entity. Perforation of the tricuspid valve (TV) leaflet by the intracardiac lead, entanglement of the lead with the TV, impingement of the TV leaflets, lead adherence to the TV and chordal entanglement are reported among others [7][8][9]. Various studies show prevalence of LITR ranging from 7.2% to 39% [8].…”

Tricuspid Valve Regurgitation After Antiarrhythmic Device Implantation

“…В исследовании B. Pfannmueller et al 5-лет-няя выживаемость после протезирования ТК у пациентов с имплантированными ААУ соста-вила 45% [41].…”