Leadless pacemaker surrounded by three valvular prostheses

      In 2011, a 67-year-old woman underwent 3 valve replacements, comprising aortic and mitral mechanical valves and a tricuspid prosthesis (left anterior oblique view, Figure 1). After the surgery, she underwent epicardial pacemaker implantation for high-degree atrioventricular block with permanent atrial fibrillation.


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        • Kerwin S.A.
        • Mayotte M.J.
        • Gornick C.C.
        Transcatheter pacemaker implantation in a patient with a bioprosthetic tricuspid valve.
        J Interv Card Electrophysiol. 2015; 44: 89-90