Document Detail

Tricuspid valve repair for torrential tricuspid regurgitation after permanent pacemaker lead extraction.
MedLine Citation:
PMID:  21720480     Owner:  NLM     Status:  MEDLINE    
Tricuspid regurgitation secondary to percutaneous lead extraction is uncommon, and it rarely requires surgical intervention. Most tricuspid regurgitation occurs during the implantation of tined leads, which can be entrapped in the tricuspid valve apparatus and may require immediate withdrawal. Severe tricuspid regurgitation as a sequela of extracting chronically implanted leads has rarely been reported. Herein, we report a case of torrential tricuspid regurgitation in a 67-year-old woman after the extraction of a permanent pacemaker lead. The regurgitation was confirmed on transesophageal echocardiography during lead extraction, and the tricuspid valve was successfully repaired with suture bicuspidization of the valve and the support of ring annuloplasty. A short review of the relevant literature follows the case report.
Deepak Mehrotra; Nand K Kejriwal
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  38     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2011  
Date Detail:
Created Date:  2011-07-01     Completed Date:  2011-10-31     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  305-7     Citation Subset:  IM    
Department of Cardiothoracic Surgery, Waikato Hospital, Hamilton 3200, New Zealand.
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MeSH Terms
Cardiac Surgical Procedures / adverse effects*
Cardiac Valve Annuloplasty*
Device Removal / adverse effects*
Echocardiography, Transesophageal
Equipment Design
Heart Injuries / etiology,  surgery*,  ultrasonography
Heart Valve Prosthesis Implantation*
Pacemaker, Artificial*
Severity of Illness Index
Suture Techniques
Treatment Outcome
Tricuspid Valve / injuries,  surgery
Tricuspid Valve Insufficiency / etiology,  surgery*,  ultrasonography

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

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