title: Lead-Sparing Tricuspid Valve Repair Damaged by Pacemaker Lead.
abstract: Permanent pacemaker lead may damage the tricuspid valve in various ways, causing severe tricuspid valve regurgitation. The perforation of posterior papillary muscle is an uncommon complication caused by the lead. We describe a lead-sparing tricuspid valve repair in which the lead extraction was not an option. The papillary muscle containing the lead was fully mobilized to release the adherent leaflets. The repair was completed by commissuroplasty as well as ring annuloplasty, leaving the lead inside the implanted ring.
authors.affiliation: Department of Cardiothoracic Surgery, Chesterman Wing, Northern General Hospital, Sheffield, United Kingdom. Electronic address: kasrash@gmail.com.
authors.forename: Kasra
authors.initials: K
authors.lastname: Shaikhrezai
authors.affiliation: Department of Cardiothoracic Surgery, Chesterman Wing, Northern General Hospital, Sheffield, United Kingdom.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Bartnik
authors.affiliation: Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
authors.forename: Maziar
authors.initials: M
authors.lastname: Khorsandi
authors.affiliation: Department of Cardiothoracic Surgery, Chesterman Wing, Northern General Hospital, Sheffield, United Kingdom.
authors.forename: Steven
authors.initials: S
authors.lastname: Hunter
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004452:Echocardiography; D005260:Female; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010210:Papillary Muscles / Q000601:surgery*; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*