Unconventional site of pacing for failed balloon valvotomy of prosthetic tricuspid valve: a case report
2025

Pacing for Tricuspid Valve Issues

Sample size: 1 publication Evidence: low

Author Information

Author(s): Aditi Newaskar, Radha Nandipati, Somasekhar Ganta, Dharma Teja Dhulipalla, John Satish, Krishna Prasad Nevali

Primary Institution: Sri Jayadeva Institute of Cardiovascular Sciences, Bengaluru, India

Conclusion

Coronary sinus pacing offers an effective alternative to conventional right ventricular pacing in cases of tricuspid valve dysfunction.

Supporting Evidence

  • The patient had a history of tricuspid valve replacement due to infective endocarditis.
  • Post-operative complications included complete atrioventricular block requiring pacing.
  • Coronary sinus pacing was successfully implemented after balloon valvotomy failed to improve valve function.

Takeaway

A 16-year-old boy had problems with his heart valve and needed a special kind of pacemaker. The doctors found a new way to help his heart without needing more surgery.

Methodology

The patient underwent tricuspid valve balloon valvotomy and successful lead placement in the coronary sinus.

Limitations

The case is based on a single patient, limiting generalizability.

Participant Demographics

16-year-old male with a history of tricuspid valve replacement and infective endocarditis.

Digital Object Identifier (DOI)

10.1186/s43044-024-00598-9

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