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. 2022 Jun 28;27(6):e12986. doi: 10.1111/anec.12986

FIGURE 2.

FIGURE 2

Mechanism of mechanical tricuspid regurgitation in the setting of permanent pacemaker (a) valve obstruction with leads in between the leaflets (b) Lead adherence due to scar formation and fibrosis (c) valve perforation (d) Lead entrapment in tricuspid valve apparatus (e) annular dilatation