An effective and safe alternative to epicardial pacemaker placement for permanent pacemaker implantation in a patient with mechanical tricuspid valve: stimulation of the left ventricle through the coronary sinus

2011 ◽  
Vol 39 (3) ◽  
pp. 244-247 ◽  
Author(s):  
Ahmet Duran Demir
Keyword(s):  
Left Ventricle ◽  
Tricuspid Valve ◽  
Coronary Sinus ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Safe Alternative ◽  
Permanent Pacemaker Implantation ◽  
Pacemaker Placement ◽  
Stimulation Of

Permanent pacemaker implantation via coronary sinus

1998 ◽  
Vol 28 (2) ◽  
pp. 304 ◽  
Author(s):  
Hyun Suk Choi ◽  
Myung-Yong Lee ◽  
Moo-Yong Lee ◽  
Seong-Choon Choe ◽  
Young-Jin Choi ◽  
...  
Keyword(s):  
Coronary Sinus ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Permanent Pacemaker Implantation

scholarly journals Permanent pacemaker implantation in Ebstein anomaly with metallic tricuspid valve

2021 ◽  
Vol 8 (11) ◽  
pp. 1746
Author(s):  
Nagabhushan Doddaka ◽  
Revanth Vulli ◽  
Sourabh Agstam ◽  
Vikas Kadiyala
Keyword(s):  
Right Ventricular ◽  
Real Time ◽  
Tricuspid Valve ◽  
Coronary Sinus ◽  
Postoperative Period ◽  
Pacemaker Implantation ◽  
Anatomical Variations ◽  
Permanent Pacemaker ◽  
Ebstein Anomaly ◽  
Endocardial Pacing

Right ventricular endocardial pacing is partially contraindicated in the presence of mechanical tricuspid valve. Occurrences of atrioventricular block are commonly associated in postoperative period in Ebstein anomaly repaired with mechanical tricuspid valve. Coronary sinus (CS) pacing is the preferred site in this scenario. However, the anatomical variations in Ebstein anomaly leads to difficulties in hooking the CS. With the help of real time left coronary injection enabled in understanding the anatomical orientation of CS ostium take off, leading to successful CS lead implantation. 

scholarly journals Comparative early outcomes of tricuspid Valve repair versus replacement for secondary tricuspid regurgitation

Open Heart ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. e000878 ◽  
Author(s):  
Mohamad Alkhouli ◽  
Chalak Berzingi ◽  
Amer Kowatli ◽  
Fahad Alqahtani ◽  
Vinay Badhwar
Keyword(s):  
Length Of Stay ◽  
Hospital Mortality ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Hospital Death ◽  
Tricuspid Valve Repair ◽  
Valve Repair ◽  
Permanent Pacemaker Implantation

BackgroundComparative outcome data on tricuspid valve repair (TVr) versus tricuspid valve replacement (TVR) for severe secondary tricuspid regurgitation (TR) are limited.MethodsWe used a national inpatient sample to assess in-hospital morbidity and mortality, length of stay and cost in patients with severe secondary TR undergoing isolated TVr versus TVR.ResultsA total of 1364 patients (national estimate=6757) underwent isolated tricuspid valve surgery during the study period, of whom 569 (41.7%) had TVr and 795 (58.3%) had TVR. There was no difference in the prevalence of major morbidities between the two groups, except for liver disease and hepatic cirrhosis, which were more common in the TVR group. Before propensity matching, in-hospital mortality was similar between patients who underwent isolated TVr and TVR (8.1% vs 10.8%, p=0.093), but the incidence of postoperative morbidities differed: TVR was associated with higher rates of permanent pacemaker implantation and blood transfusion, while TVr was associated with more acute kidney injury. After rigorous propensity score matching, TVR was associated with significantly higher rates of in-hospital death (12% vs 6.9%, p=0.009) and permanent pacemaker implantation (33.7% vs 11.2%, p<0.001). Postoperative morbidities and length of stay, however, were not different between the two groups. Nonetheless, cost of hospitalisation was 16% higher in the TVr group.ConclusionsIn patients undergoing isolated surgery for secondary TR, TVR is associated with higher in-hospital mortality and need for permanent pacemaker compared with TVr. Further studies are needed to understand the impact of the type of surgery on the short-term and long-term mortality in this complex undertreated population.

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