Mk. Batur et al., Permanent left ventricular pacing from the great cardiac vein of a patientwith artificial tricuspid and mitral valves - A case report, ANGIOLOGY, 51(12), 2000, pp. 1027-1030
Transvenous placement of a right ventricular pacemaker lead through the art
ificial tricuspid valve is a known contraindication, and in this situation,
epicardial pacemaker implantation is the procedure of choice. However, per
manent pacemaker implantation is a subject for debate when the use of the e
picardial route is impossible. This report describes alternate transvenous
routes for a pacemaker lead in a patient with an artificial tricuspid valve
and mitral valve in whom the epicardial lead and pacemaker generator must
be removed because of resistant infection.