Tricuspid leaflet flail after Micra™ leadless pacemaker implantation: a case report

BACKGROUND: Currently, the leadless pacemaker indications are limited to few and highly selected cases. CASE SUMMARY: We describe the first reported case of an atrioventricular Micra™ leadless pacemaker implantation complicated by tricuspid posterior leaflet flail with severe regurgitation in a 29-y...

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Detalles Bibliográficos
Autores principales: Pingitore, Annachiara, Calcagno, Simone, Salvador, Loris, Mennuni, Silvia, Cavarretta, Elena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9240833/
https://www.ncbi.nlm.nih.gov/pubmed/35775019
http://dx.doi.org/10.1093/ehjcr/ytac154
Descripción
Sumario:BACKGROUND: Currently, the leadless pacemaker indications are limited to few and highly selected cases. CASE SUMMARY: We describe the first reported case of an atrioventricular Micra™ leadless pacemaker implantation complicated by tricuspid posterior leaflet flail with severe regurgitation in a 29-year-old man affected by asymptomatic and progressive high degree atrio-ventricular block. The patient was then treated with endoscopic tricuspid valve repair, leadless pacemaker removal and implantation of an epicardial pacemaker. DISCUSSION: Leadless pacemaker complications are multiple, hence it is essential to ensure a safe procedure, especially in the younger patients. We thought that the application of a transesophageal echocardiography guidance might mitigate the risk of major complications.

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