Document Detail


Severe tricuspid regurgitation due to entrapment of the anterior leaflet of the valve by a permanent pacemaker lead: role of real time three-dimensional echocardiography.
MedLine Citation:
PMID:  17584205     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pacemaker leads may impair tricuspid valve coaptation and they are a well-known cause of mild tricuspid regurgitation. Occasionally, right ventricular leads worsen tricuspid regurgitation over time and patients develop late-onset symptoms of right-sided heart failure. The exact mechanism of this clinical entity is rarely identifiable by 2D-echocardiography only. This case report details a patient with severe tricuspid regurgitation secondary to immobilization of the anterior leaflet of the tricuspid valve by a permanent ventricular pacing lead. The mechanism of regurgitation was clarified by real time three-dimensional echocardiography that showed the location of the ventricular lead and its interference with the tricuspid valve.
Authors:
Gaetano Nucifora; Luigi P Badano; Giuseppe Allocca; Pasquale Gianfagna; Alessandro Proclemer; Margherita Cinello; Paolo M Fioretti
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  24     ISSN:  0742-2822     ISO Abbreviation:  Echocardiography     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-22     Completed Date:  2007-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  649-52     Citation Subset:  IM    
Affiliation:
Cardiopulmonary Science Department, Azienda Ospedaliero-Universitaria di Udine, Udine, Italy. gnucifora@cardionet.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Diagnosis, Differential
Echocardiography, Doppler, Color / methods
Echocardiography, Three-Dimensional / methods*
Echocardiography, Transesophageal / methods
Electrodes, Implanted / adverse effects*
Female
Heart Atria / surgery
Humans
Pacemaker, Artificial / adverse effects*
Severity of Illness Index
Tricuspid Valve / physiopathology*,  ultrasonography
Tricuspid Valve Insufficiency / diagnosis*,  etiology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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