title: Tricuspid valve repair for torrential tricuspid regurgitation after permanent pacemaker lead extraction.
abstract: 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.
authors: Department of Cardiothoracic Surgery, Waikato Hospital, Hamilton 3200, New Zealand. mr.dmehrotra@gmail.com
authors: Deepak
authors: D
authors: Mehrotra
authors: Nand K
authors: NK
authors: Kejriwal
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D058385:Cardiac Valve Annuloplasty; D020878:Device Removal / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D005260:Female; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D010138:Pacemaker, Artificial; D012086:Reoperation; D012720:Severity of Illness Index; D013536:Suture Techniques; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000293:injuries / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*