Severe tricuspid regurgitation due to entrapment of the anterior leaflet of the valve by a permanent pacemaker lead: Role of real time three-dimensional echocardiography

Gaetano Nucifora; Luigi P. Badano; Giuseppe Allocca; Pasquale Gianfagna; Alessandro Proclemer; Margherita Cinello; Paolo M. Fioretti

doi:10.1111/j.1540-8175.2007.00443.x

Severe tricuspid regurgitation due to entrapment of the anterior leaflet of the valve by a permanent pacemaker lead: Role of real time three-dimensional echocardiography

Gaetano Nucifora, Luigi P. Badano, Giuseppe Allocca, Pasquale Gianfagna, Alessandro Proclemer, Margherita Cinello, Paolo M. Fioretti

Research output: Contribution to journal › Article › peer-review

37 Citations (Scopus)

Abstract

Pacemaker leads may impair tricuspid valve coaptation and they are a well-known cause of mild tricuspid regurgitation. Occasionally, right ventricular leads worsen tricuspid regurgitation over time and patients develop late-onset symptoms of right-sided heart failure. The exact mechanism of this clinical entity is rarely identifiable by 2D-echocardiography only. This case report details a patient with severe tricuspid regurgitation secondary to immobilization of the anterior leaflet of the tricuspid valve by a permanent ventricular pacing lead. The mechanism of regurgitation was clarified by real time three-dimensional echocardiography that showed the location of the ventricular lead and its interference with the tricuspid valve.

Original language	English
Pages (from-to)	649-652
Number of pages	4
Journal	Echocardiography
Volume	24
Issue number	6
DOIs	https://doi.org/10.1111/j.1540-8175.2007.00443.x
Publication status	Published or Issued - Jul 2007
Externally published	Yes

Keywords

Pacemaker lead
Real time three-dimensional echocardiography
Right heart failure
Tricuspid regurgitation
Two-dimensional echocardiography

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1111/j.1540-8175.2007.00443.x

Cite this

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title = "Severe tricuspid regurgitation due to entrapment of the anterior leaflet of the valve by a permanent pacemaker lead: Role of real time three-dimensional echocardiography",

abstract = "Pacemaker leads may impair tricuspid valve coaptation and they are a well-known cause of mild tricuspid regurgitation. Occasionally, right ventricular leads worsen tricuspid regurgitation over time and patients develop late-onset symptoms of right-sided heart failure. The exact mechanism of this clinical entity is rarely identifiable by 2D-echocardiography only. This case report details a patient with severe tricuspid regurgitation secondary to immobilization of the anterior leaflet of the tricuspid valve by a permanent ventricular pacing lead. The mechanism of regurgitation was clarified by real time three-dimensional echocardiography that showed the location of the ventricular lead and its interference with the tricuspid valve.",

keywords = "Pacemaker lead, Real time three-dimensional echocardiography, Right heart failure, Tricuspid regurgitation, Two-dimensional echocardiography",

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year = "2007",

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doi = "10.1111/j.1540-8175.2007.00443.x",

language = "English",

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journal = "Echocardiography",

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T1 - Severe tricuspid regurgitation due to entrapment of the anterior leaflet of the valve by a permanent pacemaker lead

T2 - Role of real time three-dimensional echocardiography

AU - Nucifora, Gaetano

AU - Badano, Luigi P.

AU - Allocca, Giuseppe

AU - Gianfagna, Pasquale

AU - Proclemer, Alessandro

AU - Cinello, Margherita

AU - Fioretti, Paolo M.

PY - 2007/7

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N2 - Pacemaker leads may impair tricuspid valve coaptation and they are a well-known cause of mild tricuspid regurgitation. Occasionally, right ventricular leads worsen tricuspid regurgitation over time and patients develop late-onset symptoms of right-sided heart failure. The exact mechanism of this clinical entity is rarely identifiable by 2D-echocardiography only. This case report details a patient with severe tricuspid regurgitation secondary to immobilization of the anterior leaflet of the tricuspid valve by a permanent ventricular pacing lead. The mechanism of regurgitation was clarified by real time three-dimensional echocardiography that showed the location of the ventricular lead and its interference with the tricuspid valve.

AB - Pacemaker leads may impair tricuspid valve coaptation and they are a well-known cause of mild tricuspid regurgitation. Occasionally, right ventricular leads worsen tricuspid regurgitation over time and patients develop late-onset symptoms of right-sided heart failure. The exact mechanism of this clinical entity is rarely identifiable by 2D-echocardiography only. This case report details a patient with severe tricuspid regurgitation secondary to immobilization of the anterior leaflet of the tricuspid valve by a permanent ventricular pacing lead. The mechanism of regurgitation was clarified by real time three-dimensional echocardiography that showed the location of the ventricular lead and its interference with the tricuspid valve.

KW - Pacemaker lead

KW - Real time three-dimensional echocardiography

KW - Right heart failure

KW - Tricuspid regurgitation

KW - Two-dimensional echocardiography

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Severe tricuspid regurgitation due to entrapment of the anterior leaflet of the valve by a permanent pacemaker lead: Role of real time three-dimensional echocardiography

Abstract

Keywords

ASJC Scopus subject areas

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