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KMID : 0882420180930020211
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Korean Journal of Medicine
2018 Volume.93 No. 2 p.211 ~ p.215
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Transvenous Implantation of an Implantable Cardioverter Defibrillator in a Patient Who Had Undergone Tricuspid Valve Replacement
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Lee Yun-Jeong
Uhm Jae-Sun
Kim Tae-Hoon
Joung Bo-Young
Pak Hui-Nam
Lee Moon-Hyoung
Ha Jong-Won
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Abstract
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Transvenous implantation of an implantable cardioverter defibrillator in patients with a prosthetic valve in the tricuspid position is difficult because a defibrillator lead cannot be implanted into the right ventricle through the prosthetic valve. Hence, there are three options: epicardial implantation, subcutaneous implantable cardioverter defibrillator implantation, and cardiac vein implantation. Here, we report the transvenous implantation of an implantable dual-chamber cardioverter defibrillator in a patient who had undergone tricuspid valve replacement with a prosthetic valve. The patient was a 70-year-old female with a prosthetic valve in the tricuspid position who had experienced two events of sudden cardiac arrest. We successfully performed the procedure by implanting the defibrillator lead into the middle cardiac vein.
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KEYWORD
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Implantable cardioverter-defibrillator, Tricuspid valve replacement, Cardiac vein
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