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Pacemaker Lead-induced Tricuspid Valve Stenosis and Reverse Lutembacher Syndrome.

Authors:
Yuya Yamazaki Takuya Wada Takayuki Kadohama Daichi Takagi Kentaro Kiryu Hiroshi Yamamoto

Ann Thorac Surg 2021 Dec 15. Epub 2021 Dec 15.

Department of Cardiovascular Surgery, Akita University Graduate School of Medicine, Hondo 1-1-1, Akita, 010-8543, Japan.

Reverse Lutembacher syndrome is a rare cause of hypoxia characterized by the triad of tricuspid valve stenosis (TS), elevated right atrial pressure, and an interatrial right-to-left shunt. We report a case of pacemaker lead-induced reverse Lutembacher syndrome in a 45-year-old woman who presented with dyspnea. The patient also developed pacemaker lead-induced superior vena cava obstruction accompanied by a right-to-left shunt through systemic-to-pulmonary venous collaterals, which exacerbated the hypoxia. Tricuspid valve replacement using a bioprosthetic valve and patent foramen ovale closure improved her hypoxia. Reverse Lutembacher syndrome is a rare cause of hypoxia characterized by the triad of tricuspid valve stenosis (TS), elevated right atrial pressure, and an interatrial right-to-left shunt. Rheumatic valvular disease and bioprosthetic degeneration of the tricuspid valve (TV) have been identified as underlying illnesses. In this report, we describe the clinical features of reverse Lutembacher syndrome due to pacemaker-induced TS and its surgical management.

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http://dx.doi.org/10.1016/j.athoracsur.2021.11.021DOI Listing
December 2021

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