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

Authors

Keywords:

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

Abstract

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

LUIS ANTONIO ARABIA, MD

Board in Internal Medicine, Cardiology, Electrophysiology.

Chief Arrhythmia Unit

Instituto Oulton.

Cordoba. Argentina

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

References

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Published

18-09-2020

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 https://jca.org.br/jca/article/view/3415

Issue

Section

Cardiac Pacing

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