Bifocal coronary sinus pacing and transcatheter tricuspid valve-in-valve implantation: an innovative combined approach.
Vincenzo Ezio SantobuonoPaolo BasileMarco GentileAnnalisa LogiaccoFrancesca AmatiMaria Cristina CarellaRiccardo MemeoEmanuela De CillisAlessandro Santo BortoneCinzia ForleoMarco Matteo CicconeAndrea Igoren GuaricciPublished in: Future cardiology (2024)
One of the most common complications of tricuspid valve replacement is atrioventricular block (AVB), often requiring permanent pacing. The endocardial pacemaker lead, placed in the right ventricle, may sometimes interfere with the implanted prosthesis, causing its early dysfunction and the need for alternative sites of pacing. To the best of our knowledge, we present the first case of a successful combined percutaneous procedure consisting of the implantation of two leads in the coronary sinus for univentricular bifocal pacing and a transcatheter tricuspid valve-in-valve implantation in a young patient with severe dysfunction of the tricuspid bioprosthesis, requiring permanent pacing for a postsurgical complete atrioventricular block.
Keyphrases
- aortic valve
- aortic stenosis
- mitral valve
- cardiac resynchronization therapy
- left ventricular
- transcatheter aortic valve replacement
- aortic valve replacement
- transcatheter aortic valve implantation
- ejection fraction
- coronary artery disease
- heart failure
- coronary artery
- minimally invasive
- oxidative stress
- healthcare
- pulmonary artery
- risk factors
- early onset
- vena cava