Leadless Pacemaker Successfully Implanted in a Patient Post-Tricuspid Valve Replacement Following Cardiac Tumor Resection: A Case Study and Review of Existing Literature - Scorecard - MDSpire

Leadless Pacemaker Successfully Implanted in a Patient Post-Tricuspid Valve Replacement Following Cardiac Tumor Resection: A Case Study and Review of Existing Literature

  • By

  • Qi Zou

  • Peng Chang

  • Cheng Jiang

  • Pengyang Lin

  • Shougang Sun

  • October 28, 2025

  • 0 min

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Clinical Scorecard: Leadless Pacemaker Successfully Implanted in a Patient Post-Tricuspid Valve Replacement Following Cardiac Tumor Resection: A Case Study and Review of Existing Literature

At a Glance

CategoryDetail
ConditionAdvanced Atrioventricular Block (AVB) post-Tricuspid Valve Replacement (TVR)
Key MechanismsCardiac conduction dysfunction due to surgical trauma during TVR
Target PopulationPatients with advanced AVB following heart valve replacement
Care SettingCardiology and cardiac surgery units

Key Highlights

  • Leadless pacemaker (Micra) implantation in a patient with third-degree AVB post-TV replacement
  • Significant improvement in heart rate and quality of life post-implantation
  • Low incidence of complications associated with leadless pacemakers compared to conventional systems

Guideline-Based Recommendations

Diagnosis

  • Use of 12-lead ECG and echocardiography to diagnose AVB and assess cardiac function

Management

  • Consider leadless pacemaker implantation for patients with advanced AVB post-TV replacement

Monitoring & Follow-up

  • Regular ECG and echocardiography follow-ups to assess pacemaker function and cardiac status

Risks

  • Potential for arrhythmias and complications from conventional pacemaker leads

Patient & Prescribing Data

Patients with cardiac conduction issues post-heart valve surgery

Leadless pacemakers provide a safer alternative with reduced infection risk and no lead-related complications

Clinical Best Practices

  • Prioritize leadless pacemaker options in patients at high risk for complications from conventional devices
  • Conduct thorough preoperative assessments to identify potential cardiac conduction issues

References

Original Source(s)

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