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KMID : 0364020150480020129
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Korean Journal of Thoracic and Cardiovascular Surgery
2015 Volume.48 No. 2 p.129 ~ p.133
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Permanent Pacemaker Lead Induced Severe Tricuspid Regurgitation in Patient Undergoing Multiple Valve Surgery
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Lee Jung-Hee
Kim Tae-Ho
Kim Wook-Sung
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Abstract
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Severe and permanent tricuspid regurgitation induced by pacemaker leads is rarely reported in the literature. The mechanism of pacemaker-induced tricuspid regurgitation has been identified, but its management has not been well established. Furthermore, debate still exists regarding the proper surgical approach. We present the case of a patient with severe tricuspid regurgitation induced by a pacemaker lead, accompanied by triple valve disease. The patient underwent double valve replacement and tricuspid valve repair without removal of the pre-existing pacemaker lead. The operation was successful and the surgical procedure is discussed in detail.
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KEYWORD
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Permanent pacemaker lead, Tricuspid valve repair, Tricuspid valve insufficiency, Pacemaker
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