JACC. Case reports · 2025
Severe Tricuspid Regurgitation in a Patient With a Cardiac Implantable Electronic Device: What We Have Learned.
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Torrado Juan, Echarte-Morales Julio, Sturla Matteo, Scotti Andrea, Flatow Elie, Leone Pier Pasquale, Grushko Michael, Ho Edwin C, Gross Jay, Latib Azeem
Аннотация
BACKGROUND: Cardiac implantable electronic devices (CIEDs) are associated with the occurrence of tricuspid regurgitation (TR) leading to poor outcomes. The distinction between CIED-induced TR and other etiologies is often challenging, making its optimal management difficult.
CLINICAL CONDITION: We describe a case of CIED-induced TR, discuss its common diagnostic/managements challenges, and analyze recent definitions/classifications and position statements.
KEY QUESTIONS: What are the most common challenges in diagnosing CIED-induced TR? What are the different causative mechanisms of CIED-inducing TR? How can CIED-induced TR be classified? What are the different management strategies for CIED-induced TR, and what are the main factors to consider?
OUTCOME: The patient underwent successful right ventricular lead extraction and placement of a right atrial lead and a coronary sinus lead. Repeat echocardiography showed reversed right ventricular remodeling with improvement of the TR.
CLINICAL CONDITION: We describe a case of CIED-induced TR, discuss its common diagnostic/managements challenges, and analyze recent definitions/classifications and position statements.
KEY QUESTIONS: What are the most common challenges in diagnosing CIED-induced TR? What are the different causative mechanisms of CIED-inducing TR? How can CIED-induced TR be classified? What are the different management strategies for CIED-induced TR, and what are the main factors to consider?
OUTCOME: The patient underwent successful right ventricular lead extraction and placement of a right atrial lead and a coronary sinus lead. Repeat echocardiography showed reversed right ventricular remodeling with improvement of the TR.