Lead Replacement - Tricuspid Regurgitation

My old Paemaker and leads were removed and two new leads installed 2/6/24. During lead removal, the lead broke and they had difficulty getting it out. During the process,  the Tricuspid valve was damaged and I am experiencing extreme fatigue and dizziness. They wanted  me on lasix, but my blood pressure is low and I don't want to risk of it going even lower. I want to seek immediate repair and meeting with cardiologist tomorrow. Does anyone have a recpmmendation as to the most recommended fix/repair for this condition? I am age 77 and in otherwise good health but don't want tis to cause heaart enlargement or lung issues.

Thanks, Tony

 


4 Comments

TTVR

by USMC-Pacer - 2024-02-11 21:56:15

I think it is better to get it taken care of sooner than later before more symptoms start or get worse. Nowadays there are less invasive options. If a repair isn't possible or advised, there is Transcatheter Tricuspid Valve Replacement (TTVR). I have never had issues with my tricuspid valve, but did with my aortic valve. 1st surgery in 2007 for a replacement with a tissue valve. That wore out this last year and I opted for the transcatheter replacement option rather than doing another surgery. For my first AVR I spent 5 days in the hospital. With this recent procedure, I went home the next day with a simple recovery. Most of the recovery is where they go into your femoral artery. No lifting anything heavier than a gallon of milk for 7-10 days (heard that somewhere before) :) Anyway, good luck and hopefully this will give you something to discuss with your team. 

I included a link below for you to read:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917079/

Assessment

by Figallegro - 2024-02-13 22:11:24

Thank you for the link. It was very informative and helpful.  

 

Getting a TEE ultrasound to assess condition of the valve.

Valve Reguritation

by Charbookles53 - 2024-02-16 20:28:50

Hi, I just wanted to ask a question, I also have mild tricuspid and mild mitral valve regurgitation. I had a pacemaker implanted in August of 2023. My PCP told me right now it's mild and he will just keep an eye on it, my cardiologist hasn't even mentioned anything about the valves regurgitation, I honestly don't even know if he read my records or even knows about it. Is yours mild or is it severe? I had a pacemaker for bradycardia of a hr of 39 and passing out, that's why my PCP sent me to the cardiologist, or EP is what he is actually. I'm just wondering if I should now be concerned about the heart valves. An echo from 2 years ago showed no regurgitation but now 2 have mild regurgitation. Just curious if yours is mild or severe, I honestly don't trust doctors anymore at all! 

Lot's of folks..

by USMC-Pacer - 2024-02-17 16:03:18

Lots of folks go throught their entire life with mild valve leaks and never have a problem. Cardiologists typically just keep an eye on them via scheduled echos unless symptoms start prompting more testing. Mitral valve regurgitation is the most common of valve issues. A high percentage of people never need anything done. Others progress to moderate or severe and need correction -who know why... Nowadays there are less invasive options to deal with it. You should ask your team questions. My guess is your cardiologist isn't worried about it, but he/she should tell you that.. 

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