We report a case of recurrent pacemaker lead endocarditis as the cause of a
cquired tricuspid stenosis. The diagnosis Tvas made noninvasively by 2-dime
nsional Doppler echocardiography, The case was further complicated by a par
adoxical septic embolism through a patent foramen ovale. This cascade of re
ar events after a pacemaker implantation has never been described in the Li
terature before.