Is a Mechanic Prosthetic Valve in Tricuspid Position an Absolute Impediment to Implant a Definitive Electrode in the Right Ventricle?


  • Luis Antonio Arabia Clinica Privada del Prado – Córdoba – Argentina
  • Juan Carlos Luciano Instituto Oulton – Córdoba – Argentina.


Ebstein anomaly, Tricuspid valve, Mechanic valve, Implantable cardioverter defibrillator, Electrode


This is the case of a middle-aged woman with Ebstein anomaly, who had a tricuspid valve replacement with a mechanic Starr-Edwards caged-ball valve many years ago, and needed an implantable cardioverter defibrillator (ICD) and ventricular pacing due to ventricular tachycardia and atrioventricular block with syncope. Furthermore, she has a chronic respiratory disease that make open chest surgery inadvisable. Prosthetic valves are a real obstacle to cross them and place catheters in the distal chamber. This report shows a technique to get access to the right ventricle endocardium through the annulus and placing the ICD electrode with correct sensing and pacing.


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Author Biography

Luis Antonio Arabia, Clinica Privada del Prado – Córdoba – Argentina


Board in Internal Medicine, Cardiology, Electrophysiology.

Chief Arrhythmia Unit

Instituto Oulton.

Cordoba. Argentina

16-digit ORCID identifier is 0000-0003-0673-0234


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How to Cite

Arabia, L. A. ., & Luciano, J. C. . (2020). Is a Mechanic Prosthetic Valve in Tricuspid Position an Absolute Impediment to Implant a Definitive Electrode in the Right Ventricle?. JOURNAL OF CARDIAC ARRHYTHMIAS, 33(4). Retrieved from



Cardiac Pacing