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Right Ventricular Endocardial Pacing With Tricuspid Valve Replacement

Department of Cardiovascular Surgery Tenri Hospital Nara, Japan 1 Department of Thoracic Surgery Nagoya University, School of Medicine Nagoya, Japan

For reprint information contact: Hitoshi Ogino, MD Tel: 81 6 6833 5012 Fax: 81 6 6872 7486 email: hogino{at}hsp.ncvc.go.jp Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.

A novel technique for simultaneous tricuspid valve replacement and endocardial pacing is described. The technique was applied in a 67-year-old man who had previously undergone coronary artery bypass grafting and subsequent pericardiotomy via a left thoracotomy. He developed congestive heart failure due to tricuspid valve regurgitation as well as impaired left ventricular function with bradycardia. Endocardial pacing was successfully performed in conjunction with tricuspid valve replacement using a bioprosthesis via a right anterolateral thoracotomy.