Journal
HEART RHYTHM
Volume 15, Issue 7, Pages 1081-1088Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.hrthm.2018.01.015
Keywords
Implantable Cardioverter-Defibrillator; Implantation; Pacemaker; Surgery; Tricuspid valve
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The demand for tricuspid valve (TV) surgery has increased continuously in the last years. Recent registry data have confirmed that TV repair or replacement carry an increased risk of conduction disorders requiring permanent pacemaker implantation, specifically for patients having multivalve surgery. The implantation of an endocardial right ventricular lead in those patients may impair TV function, and some other approaches may be discussed to avoid traversing the valve. This contemporary review describes the different options currently available for patients requiring pacemaker or defibrillation leads implantation after TV surgery.
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