与起搏器相关的医源性三尖瓣反流：一例合并三尖瓣狭窄的病例
Iatrogenic Tricuspid Regurgitation Associated With Pacemakers: A Case Compounded by Tricuspid Stenosis.
作者信息
Duncan Rory, Sharma Rakesh, Vazir Ali, Rosendahl Ulrich, Duncan Alison
机构信息
King's College, London, United Kingdom.
The Royal Brompton Hospital, London, United Kingdom.
出版信息
JACC Case Rep. 2023 Apr 19;12:101772. doi: 10.1016/j.jaccas.2023.101772.
Abstract
A patient presented with severe tricuspid regurgitation 20 years after dual-chamber pacing. Transesophageal echocardiography suggested ventricular pacing wire adherence to the tricuspid valve (TV) and atrial wire prolapse across the tricuspid annulus. Surgical extraction of the pacing wires revealed TV commissural fusion and subvalvular thickening causing tricuspid stenosis, requiring TV replacement. ().
摘要
一名患者在双腔起搏20年后出现严重三尖瓣反流。经食管超声心动图提示心室起搏导线附着于三尖瓣（TV），心房导线经三尖瓣环脱垂。手术取出起搏导线显示三尖瓣连合处融合和瓣下增厚导致三尖瓣狭窄，需要置换三尖瓣。（）
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