Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case report.

Background: Conduction disturbances are a frequent occurrence after tricuspid valve surgeries, and their management is challenging.

Case Presentation: We present a case of 16-year-old male patient who presented with episodes of presyncope. At the age of 7 years, he underwent tricuspid valve replacement surgery with a biological prosthesis for infective endocarditis sourced from a gluteal abscess.