AI Article Synopsis
- Transvenous pacemaker leads can negatively affect tricuspid valve function, causing potential complications over time.
- A unique case of a young adult patient revealed severe tricuspid regurgitation and right heart enlargement after 10 years due to pacemaker lead migration and adhesion.
- The patient required cardiac surgery and epicardial pacing, highlighting the need for careful monitoring of the venous system and right heart valves in children with transvenous pacing.
Article Abstract
Transvenous pacemaker leads may impair tricuspid valve function. Severe tricuspid regurgitation due to leaflet adhesion to the pacemaker lead has not been reported in a young adult patient in the literature. Our patient underwent a transvenous pacemaker implantation for symptoms of bradycardia. An atrial loop was created in the right atrium for future growth. After 10 years of follow-up, the patient was seen with severe tricuspid regurgitation and enlarged right heart structures due to migration of the atrial loop of the pacemaker lead into the right ventricle and adhesion of the lead to the tricuspid valve. Cardiac surgery and epicardial pacing was the chosen procedure to solve this problem. The venous system and right heart valves should be carefully observed during the follow-up of children who underwent transvenous pacing.
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| http://dx.doi.org/10.1080/ac.67.2.2154215 | DOI Listing |
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