Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case report
Abstract Background Conduction disturbances are a frequent occurrence after tricuspid valve surgeries, and their management is challenging. Case presentation We present a case of 16-year-old male patient who presented with episodes of presyncope. At the age of 7 years, he underwent tricuspid valve r...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-01-01
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| Series: | The Egyptian Heart Journal |
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| Online Access: | https://doi.org/10.1186/s43044-024-00598-9 |
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| author | Aditi Newaskar Radha Nandipati Somasekhar Ganta Dharma Teja Dhulipalla John Satish Krishna Prasad Nevali |
| author_facet | Aditi Newaskar Radha Nandipati Somasekhar Ganta Dharma Teja Dhulipalla John Satish Krishna Prasad Nevali |
| author_sort | Aditi Newaskar |
| collection | DOAJ |
| description | Abstract Background Conduction disturbances are a frequent occurrence after tricuspid valve surgeries, and their management is challenging. Case presentation We present a case of 16-year-old male patient who presented with episodes of presyncope. At the age of 7 years, he underwent tricuspid valve replacement surgery with a biological prosthesis for infective endocarditis sourced from a gluteal abscess. Post-operatively, he had complete atrioventricular block and underwent epicardial pacing. Epicardial lead impedance increased at follow-up and led to failure of pacing. At the time of presentation he had prosthetic tricuspid valve dysfunction with increased gradients. We did tricuspid valve balloon valvotomy but the gradients did not improve and patient developed tricuspid regurgitation. In view of difficulty in placing the lead through degenerated tricuspid valve, we have decided to place the lead in coronary sinus. He underwent successful lead placement in posterolateral tributary of coronary sinus with acceptable parameters. He had an uneventful follow-up at 1 year. Conclusion TV surgeries create a unique problem for pacing. Coronary sinus pacing offers an effective alternative to conventional RV pacing in such cases. |
| format | Article |
| id | doaj-art-0899c622b50745f09fba77678ef3a3f5 |
| institution | Kabale University |
| issn | 2090-911X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj-art-0899c622b50745f09fba77678ef3a3f52025-01-12T12:28:57ZengSpringerOpenThe Egyptian Heart Journal2090-911X2025-01-017711510.1186/s43044-024-00598-9Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case reportAditi Newaskar0Radha Nandipati1Somasekhar Ganta2Dharma Teja Dhulipalla3John Satish4Krishna Prasad Nevali5Department of Cardiology, Sri Jayadeva Institute of Cardiovascular SciencesDepartment of Cardiology, NRI Academy of SciencesDepartment of Cardiology, NRI Academy of SciencesDepartment of Cardiology, NRI Academy of SciencesDepartment of Cardiology, NRI Academy of SciencesDepartment of Cardiology, NRI Academy of SciencesAbstract Background Conduction disturbances are a frequent occurrence after tricuspid valve surgeries, and their management is challenging. Case presentation We present a case of 16-year-old male patient who presented with episodes of presyncope. At the age of 7 years, he underwent tricuspid valve replacement surgery with a biological prosthesis for infective endocarditis sourced from a gluteal abscess. Post-operatively, he had complete atrioventricular block and underwent epicardial pacing. Epicardial lead impedance increased at follow-up and led to failure of pacing. At the time of presentation he had prosthetic tricuspid valve dysfunction with increased gradients. We did tricuspid valve balloon valvotomy but the gradients did not improve and patient developed tricuspid regurgitation. In view of difficulty in placing the lead through degenerated tricuspid valve, we have decided to place the lead in coronary sinus. He underwent successful lead placement in posterolateral tributary of coronary sinus with acceptable parameters. He had an uneventful follow-up at 1 year. Conclusion TV surgeries create a unique problem for pacing. Coronary sinus pacing offers an effective alternative to conventional RV pacing in such cases.https://doi.org/10.1186/s43044-024-00598-9Epicardial pacingTricuspid valve replacementInfective endocarditisCoronary sinus pacing |
| spellingShingle | Aditi Newaskar Radha Nandipati Somasekhar Ganta Dharma Teja Dhulipalla John Satish Krishna Prasad Nevali Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case report The Egyptian Heart Journal Epicardial pacing Tricuspid valve replacement Infective endocarditis Coronary sinus pacing |
| title | Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case report |
| title_full | Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case report |
| title_fullStr | Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case report |
| title_full_unstemmed | Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case report |
| title_short | Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case report |
| title_sort | unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve a case report |
| topic | Epicardial pacing Tricuspid valve replacement Infective endocarditis Coronary sinus pacing |
| url | https://doi.org/10.1186/s43044-024-00598-9 |
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