Is a Mechanic Prosthetic Valve in Tricuspid Position an Absolute Impediment to Implant a Definitive Electrode in the Right Ventricle?
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 blo...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Linceu Editorial
2020-09-01
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| Series: | Journal of Cardiac Arrhythmias |
| Subjects: | |
| Online Access: | https://www.jca.org.br/jca/article/view/3415 |
| Summary: | 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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| ISSN: | 2674-7472 |