Abstract
OBJECTIVE--To assess the incidence and complications of permanent pacing in patients who undergo tricuspid valve replacement. DESIGN--A retrospective study of records of patients who had a tricuspid valve replacement between 1978 and 1993 at the Middlesex hospital. RESULTS--45 patients with tricuspid valve replacements were followed up for a total of 104 patient years. Ten patients (22%) required permanent pacing, five with epicardial leads and five with endocardial. Endocardial leads had significantly lower initial implantation thresholds and were associated with fewer complications. CONCLUSION--Patients undergoing tricuspid valve replacement frequently require permanent pacing. Endocardial or epicardial lead insertion should be considered at the time of tricuspid valve replacement.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Gaillard D., Lespinasse P., Vanetti A. Cardiac pacing and valvular surgery. Pacing Clin Electrophysiol. 1988 Nov;11(11 Pt 2):2142–2148. doi: 10.1111/j.1540-8159.1988.tb06363.x. [DOI] [PubMed] [Google Scholar]
- Lee M. E. Special considerations in ventricular pacing in patients with tricuspid valve disease. Ann Thorac Surg. 1983 Jul;36(1):89–92. doi: 10.1016/s0003-4975(10)60657-1. [DOI] [PubMed] [Google Scholar]
- Pernenkil R., Wright J. S. Endocardial pacing through a prosthetic tricuspid valve. Pacing Clin Electrophysiol. 1990 Nov;13(11 Pt 1):1365–1366. doi: 10.1111/j.1540-8159.1990.tb04008.x. [DOI] [PubMed] [Google Scholar]