Severe tricuspid valve stenosis secondary to pacemaker leads presenting as ascites and liver dysfunction: A complex problem requiring a multidisciplinary therapeutic approach

Anita Krishnan, Achintya Moulick, Pranava Sinha, Karen Kuehl, Joshua Kanter, Michael Slack, Jonathan Kaltman, Marco Mercader, Jeffrey P. Moak

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Tricuspid stenosis secondary to ventricular pacemaker leads is uncommon. We present a unique case of iatrogenic tricuspid stenosis secondary to fusion of the valve leaflets to transvenous implanted pacing leads. This occurred in an adult with childhood repaired Tetralogy of Fallot and high grade surgical heart block following multiple pacemaker procedures. The case was complicated by superior vena cava (SVC) and innominate vein stenosis secondary to implanted pacing leads, severe tricuspid valve (TV) stenosis, perforation of the heart by one of the implanted transvenous ventricular pacing leads, prolapse of the transvenous atrial pacing lead into the right ventricle, and unusual coronary sinus anatomy. We describe a multidisciplinary approach to management.

Original languageEnglish (US)
Pages (from-to)71-75
Number of pages5
JournalJournal of Interventional Cardiac Electrophysiology
Volume24
Issue number1
DOIs
StatePublished - Jan 2009
Externally publishedYes

Keywords

  • Ascites
  • AV block
  • Liver dysfunction
  • Pacemaker
  • Pacing leads
  • Superior vena cave stenosis
  • Tetralogy of Fallot
  • Tricuspid valve stenosis

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