title: High traffic congestion in right atrium.
abstract: A 62-year lady presented with limb swelling and heart failure due to leads induced venous fibrosis and severe tricuspid stenosis, 33 years after pacemaker implantation. After undergoing surgical removal of all leads and tricuspid valve replacement under cardiopulmonary bypass, she regained a normal functional status and tricuspid and right ventricular functions.
authors.affiliation: Cardiology, PGIMER, Chandigarh, India. Electronic address: rhythm_divine46@yahoo.com.
authors.forename: S
authors.initials: S
authors.lastname: Mehrotra
authors.affiliation: Cardiac Anesthesia, PGIMER, Chandigarh, India.
authors.forename: Bhupesh
authors.initials: B
authors.lastname: Kumar
authors.affiliation: Professor, Cardiology, PGIMER, Chandigarh, India.
authors.forename: R
authors.initials: R
authors.lastname: Vijayvergiya
authors.affiliation: Cardiothoracic Surgery, PGIMER, Chandigarh, India.
authors.forename: S
authors.initials: S
authors.lastname: Mathew
mesh_terms: D020878:Device Removal / Q000379:methods*; D015150:Echocardiography, Doppler; D004868:Equipment Failure; D005260:Female; D006327:Heart Block / Q000628:therapy*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010690:Phlebography; D013350:Subclavian Vein; D014057:Tomography, X-Ray Computed; D014264:Tricuspid Valve Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology*
keywords: Pacemaker leads; Tricuspid stenosis; Venous thrombosis