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. 2023 Dec 14;45(5):346–365. doi: 10.1093/eurheartj/ehad783

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© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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Example of a lead-related tricuspid regurgitation with ‘tricuspid kick’ and impingement of the posterior leaflet. Severe lead–leaflet interaction with impingement of the posterior leaflet resulting in severe cardiac implantable electronic device-related tricuspid regurgitation. (A) Impingement of the posterior leaflet; (B) severe tricuspid regurgitation with large coapation gap and secondary leaflet tethering; (C) excessive slack with visible tricuspid kick as a sign of potential interaction with the tricuspid annulus; and (D) cardiac computed tomography shows interaction with the tricuspid valve annulus (reconstructed line), as well as excessive slack in the right ventricle. RA, right atrium; RV, right ventricle.