Arapoglu Mujde, Celiker Alpay, Ozkan Suleyman
Department of Paediatrics, Acibadem University, Istanbul, Turkey.
Acta Cardiol. 2012 Apr;67(2):235-8. doi: 10.1080/ac.67.2.2154215.
Transvenous pacemaker leads may impair tricuspid valve function. Severe tricuspid regurgitation due to leaflet adhesion to the pacemaker lead has not been reported in a young adult patient in the literature. Our patient underwent a transvenous pacemaker implantation for symptoms of bradycardia. An atrial loop was created in the right atrium for future growth. After 10 years of follow-up, the patient was seen with severe tricuspid regurgitation and enlarged right heart structures due to migration of the atrial loop of the pacemaker lead into the right ventricle and adhesion of the lead to the tricuspid valve. Cardiac surgery and epicardial pacing was the chosen procedure to solve this problem. The venous system and right heart valves should be carefully observed during the follow-up of children who underwent transvenous pacing.
经静脉起搏器导线可能会损害三尖瓣功能。文献中尚未报道过因小叶粘连至起搏器导线导致的严重三尖瓣反流发生在年轻成年患者身上。我们的患者因心动过缓症状接受了经静脉起搏器植入术。在右心房创建了一个心房袢以备未来生长之需。经过10年的随访，发现该患者出现严重三尖瓣反流以及右心结构扩大，原因是起搏器导线的心房袢迁移至右心室且导线与三尖瓣粘连。心脏手术和心外膜起搏是解决此问题的首选方法。在接受经静脉起搏的儿童随访期间，应仔细观察静脉系统和右心瓣膜。
