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Cardiac electronic implantable devices after tricuspid valve surgery
Raphaël P Martins1, Vincent Galand1, Christophe Leclercq1
1Service de Cardiologie et Maladies Vasculaires, CHU de Rennes, Rennes, France, Université de Rennes 1, CIC-IT 1414, Rennes, France, and INSERM, U1099, Rennes, France.
Abstract:
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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