Tricuspid Valve Repair for Torrential Tricuspid Regurgitation after Permanent Pacemaker Lead Extraction

摘要

Tricuspid regurgitation secondary to percutaneous lead extraction is uncommon, and it rarely requires surgical intervention. Most tricuspid regurgitation occurs during the implantation of tined leads, which can be entrapped in the tricuspid valve apparatus and may require immediate withdrawal. Severe tricuspid regurgitation as a sequela of extracting chronically implanted leads has rarely been reported. Herein, we report a case of torrential tricuspid regurgitation in a 67-year-old woman after the extraction of a permanent pacemaker lead. The regurgitation was confirmed on transesophageal echocardiography during lead extraction, and the tricuspid valve was successfully repaired with suture bicuspidization of the valve and the support of ring annuloplasty. A short review of the relevant literature follows the case report. Key words: Cardiology/instrumentation, echocardiography, electrodes, implanted, heart injuries/diagnosis/etiology, pacemaker, artificial/adverse effects/instrumentation, treatment outcome, tricuspid valve/injuries, wounds, penetrating/etiology Tricuspid regurgitation (TR) after the percutaneous extraction of pacemaker and implantable defibrillator leads is uncommon, but if it is severe, it may require surgical intervention. Herein, we present the case of a patient who had TR secondary to the extraction of a permanent pacemaker, and we report our diagnostic and corrective surgical actions. We also briefly review the relevant medical literature.