AI Article Synopsis
- Traumatic lesions of the tricuspid valve after pacemaker lead extractions are infrequent but can occur.
- Two cases are reported where patients experienced partial ruptures of the tricuspid valve after lead extractions, leading to severe regurgitation and one case resulting in chronic heart failure.
- Transesophageal echocardiography (TEE) is effective in diagnosing the cause of tricuspid regurgitation and assessing valvular damage in patients who develop these issues after lead extractions.
Article Abstract
Traumatic lesions of the tricuspid valve complicating pacemaker lead extractions appear to be rare. We report two cases of partial rupture of the tricuspid valve, following apparently uneventful extraction of permanent ventricular leads, resulting in severe regurgitation and, in one case, chronic heart failure. TEE was useful to identify the traumatic mechanism of tricuspid regurgitation (TR) and the extent of valvular lesions in these patients. Such etiology should be suspected, and TEE performed, in patients developing TR or heart failure late after lead extraction.
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| http://dx.doi.org/10.1111/j.1540-8159.1999.tb06828.x | DOI Listing |
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