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The Journal of Thoracic and Cardiovascular Surgery, Vol 74, 433-435, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
ME Lee, A Chaux and JM Matloff
Endocardial pacemaker electrodes rely in part upon endocardial fixation
proximal to the electrode tip to prevent ejection of the tip from the
ventricular apex. Fixation of these electrodes to the superior vena cava
and tricuspid valve, in particular, has been reported. Infection of
endocardial electrodes necessitates their removal. This report concerns
avulsion of a tricuspid valve leaflet during traction on an infected
electrode. With the availability of new methods of apical fixation, the
utilization of electrode sheathing materials which discourage endocardial
fixation would increase the safety of their removal under the circumstances
reported herein.
ARTICLES
Avulsion of a tricuspid valve leaflet during traction on an infected, entrapped endocardial pacemaker electrode. The role of electrode design
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