Objective
Pacemaker lead extraction procedures are being increasingly performed due to infection or pacemaker lead failure. Here we report a case presenting with asymptomatic tricuspid stenosis (TS) following a complex lead extraction procedure including mechanical lead extraction and needle eye snare.
Methods
A 50-year old male admitted to our hospital with the complaints of erythema and total erosion of the skin upon the battery field in 2011. His past medical history revealed a single chamber pacemaker implantation in 1989 due to congenital heart block. Then patient was diagnosed to have dilated cardiomyopathy in 2008 and his pacemaker was upgraded to cardiac resynchronization therapy with a defibrillator. In his current admission, the biventricular ICD battery and proximal parts of the leads were clearly visible due to skin erosion. There was no vegetation attached to the leads on transthoracic (TTE) or transeosophageal echocardiography (TEE). Left ventricular ejection fraction was 35% with mild tricuspid regurgitation.
Methods
A 50-year old male admitted to our hospital with the complaints of erythema and total erosion of the skin upon the battery field in 2011. His past medical history revealed a single chamber pacemaker implantation in 1989 due to congenital heart block. Then patient was diagnosed to have dilated cardiomyopathy in 2008 and his pacemaker was upgraded to cardiac resynchronization therapy with a defibrillator. In his current admission, the biventricular ICD battery and proximal parts of the leads were clearly visible due to skin erosion. There was no vegetation attached to the leads on transthoracic (TTE) or transeosophageal echocardiography (TEE). Left ventricular ejection fraction was 35% with mild tricuspid regurgitation.
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