@article{Arabia_Luciano_2020, title={Is a Mechanic Prosthetic Valve in Tricuspid Position an Absolute Impediment to Implant a Definitive Electrode in the Right Ventricle?}, volume={33}, url={https://jca.org.br/jca/article/view/3415}, abstractNote={<p class="p1">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.</p>}, number={4}, journal={JOURNAL OF CARDIAC ARRHYTHMIAS}, author={Arabia, Luis Antonio and Luciano, Juan Carlos}, year={2020}, month={Sep.} }