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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.

DOI:10.1016/j.jaccas.2023.101772
PMID:37091055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10119477/
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。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0080/10119477/ad3518493c1b/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0080/10119477/ad3518493c1b/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0080/10119477/ad3518493c1b/fx1.jpg

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本文引用的文献

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Severe Tricuspid Stenosis Secondary to Permanent Pacemaker Lead.永久性起搏器导线继发严重三尖瓣狭窄
J Med Cases. 2022 Aug;13(8):365-368. doi: 10.14740/jmc3900. Epub 2022 Aug 19.
2
Transcatheter treatment for tricuspid valve disease.经导管三尖瓣疾病治疗。
EuroIntervention. 2021 Nov 19;17(10):791-808. doi: 10.4244/EIJ-D-21-00695.
3
Prevalence and Significance of Tricuspid Regurgitation Post-Endocardial Lead Placement.心内膜导线置入术后三尖瓣反流的患病率及意义
JACC Cardiovasc Imaging. 2019 Mar;12(3):562-564. doi: 10.1016/j.jcmg.2018.07.009. Epub 2018 Sep 12.
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Dynamic tricuspid valve stenosis induced with a pacemaker lead: a case report.
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Pacemaker lead-induced severe tricuspid valve stenosis.
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Down to the wire: tricuspid stenosis in the setting of multiple pacing leads.
Pacing Clin Electrophysiol. 2010 May;33(5):e49-52. doi: 10.1111/j.1540-8159.2009.02633.x. Epub 2010 Jan 12.
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Lead-induced tricuspid stenosis--successful management by balloon angioplasty.
Pacing Clin Electrophysiol. 2009 Jan;32(1):140-2. doi: 10.1111/j.1540-8159.2009.02189.x.
8
Severe tricuspid valve stenosis secondary to pacemaker leads presenting as ascites and liver dysfunction: a complex problem requiring a multidisciplinary therapeutic approach.起搏器导线继发严重三尖瓣狭窄表现为腹水和肝功能障碍：一个需要多学科治疗方法的复杂问题。
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