Cardiac electronic implantable devices after tricuspid valve surgery

Heart Rhythm. 2018 Jul;15(7):1081-1088. doi: 10.1016/j.hrthm.2018.01.015. Epub 2018 Jan 8.

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.

Keywords: Implantable Cardioverter-Defibrillator; Implantation; Pacemaker; Surgery; Tricuspid valve.

Publication types

  • Review

MeSH terms

  • Arrhythmias, Cardiac / etiology
  • Arrhythmias, Cardiac / therapy*
  • Cardiac Surgical Procedures / adverse effects*
  • Defibrillators, Implantable*
  • Humans
  • Postoperative Complications*
  • Tricuspid Valve / surgery*
  • Tricuspid Valve Insufficiency / surgery*