Is It Possible to Place a Pacemaker Lead Through a Bileaflet Mechanical Prosthesis?
Josías C Ríos-Ortega1, Josué Sisniegas-Razón1, Víctor Robles-Velarde1
1EsSalud, National Cardiovascular Institute, Cardiovascular Surgery Department, Lima, Peru.
Innovations (Philadelphia, Pa.)
|March 6, 2023
Summary
A novel approach successfully implanted a pacemaker lead through a mechanical tricuspid valve prosthesis in a patient with third-degree atrioventricular block. This innovative method avoided further cardiac surgery and demonstrated no device dysfunction at one year.
Area of Science:
- Cardiology
- Cardiac Surgery
- Biomedical Engineering
Background:
- Mechanical valve replacement for tricuspid valve (TV) disease is a complex procedure.
- Third-degree atrioventricular block can necessitate pacemaker implantation.
- Coronary sinus lead placement is a common but not always feasible approach for ventricular pacing.


