Is It Possible to Place a Pacemaker Lead Through a Bileaflet Mechanical Prosthesis?

Ríos-Ortega J.C.; Sisniegas-Razón J.; Robles-Velarde V.; Rodríguez-Urteaga Z. · Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery (2023) · DOI: 10.1177/15569845231158656

Resumen

We present a 64-year-old woman who underwent mitral, aortic, and tricuspid valve (TV) replacement with mechanical prostheses. Two months after TV surgery, she presented third-degree atrioventricular block. After attempting to place a pacemaker lead through the coronary sinus, it was placed through the mechanical valve in the tricuspid position as the last option. At 1 year of follow-up, the device shows no signs of dysfunction, and the prosthesis has moderate regurgitation. © The Author(s) 2023.