Journal of Chest Surgery

  • 제48권2호
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  • Pages.129-133
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  • 2015
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Permanent Pacemaker Lead Induced Severe Tricuspid Regurgitation in Patient Undergoing Multiple Valve Surgery

  • Lee, Jung Hee (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Tae Ho (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Wook Sung (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2014.07.08
  • 심사 : 2014.11.05
  • 발행 : 2015.04.05
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초록

Severe and permanent tricuspid regurgitation induced by pacemaker leads is rarely reported in the literature. The mechanism of pacemaker-induced tricuspid regurgitation has been identified, but its management has not been well established. Furthermore, debate still exists regarding the proper surgical approach. We present the case of a patient with severe tricuspid regurgitation induced by a pacemaker lead, accompanied by triple valve disease. The patient underwent double valve replacement and tricuspid valve repair without removal of the pre-existing pacemaker lead. The operation was successful and the surgical procedure is discussed in detail.

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참고문헌

  1. Al-Bawardy R, Krishnaswamy A, Bhargava M, et al. Tricuspid regurgitation in patients with pacemakers and implantable cardiac defibrillators: a comprehensive review. Clin Cardiol 2013;36:249-54. https://doi.org/10.1002/clc.22104
  2. Paniagua D, Aldrich HR, Lieberman EH, Lamas GA, Agatston AS. Increased prevalence of significant tricuspid regurgitation in patients with transvenous pacemakers leads. Am J Cardiol 1998;82:1130-2, A9. https://doi.org/10.1016/S0002-9149(98)00567-0
  3. Iskandar SB, Ann Jackson S, Fahrig S, Mechleb BK, Garcia ID. Tricuspid valve malfunction and ventricular pacemaker lead: case report and review of the literature. Echocardiography 2006;23:692-7. https://doi.org/10.1111/j.1540-8175.2006.00289.x
  4. Chen TE, Wang CC, Chern MS, Chu JJ. Entrapment of permanent pacemaker lead as the cause of tricuspid regurgitation. Circ J 2007;71:1169-71. https://doi.org/10.1253/circj.71.1169
  5. Lin G, Nishimura RA, Connolly HM, Dearani JA, Sundt TM 3rd, Hayes DL. Severe symptomatic tricuspid valve regurgitation due to permanent pacemaker or implantable cardioverter- defibrillator leads. J Am Coll Cardiol 2005;45: 1672-5. https://doi.org/10.1016/j.jacc.2005.02.037
  6. McCarthy PM, Bhudia SK, Rajeswaran J, et al. Tricuspid valve repair: durability and risk factors for failure. J Thorac Cardiovasc Surg 2004;127:674-85. https://doi.org/10.1016/j.jtcvs.2003.11.019
  7. Pfannmueller B, Hirnle G, Seeburger J, et al. Tricuspid valve repair in the presence of a permanent ventricular pacemaker lead. Eur J Cardiothorac Surg 2011;39:657-61. https://doi.org/10.1016/j.ejcts.2010.08.051
  8. Aris A, Callejo F, Cobiella J, Maestre ML. Tricuspid valve replacement in the presence of an endocardial pacemaker electrode. J Heart Valve Dis 2004;13:523-4.

피인용 문헌

  1. Multi-site multi-polar left ventricular pacing through persistent left superior vena cava in tricuspid valve disease vol.17, pp.5, 2015, https://doi.org/10.1016/j.ipej.2017.05.008
  2. Severe tricuspid regurgitation due to interactions with right ventricular permanent pacemaker or defibrillator leads vol.41, pp.7, 2018, https://doi.org/10.1111/pace.13369
  3. Tricuspid insufficiency after cardiac-implantable electronic device placement vol.11, pp.6, 2015, https://doi.org/10.1080/20009666.2021.1967569