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Percutaneous balloon valvotomy for the treatment of pacemaker lead-induced tricuspid stenosis
  1. Vincent Michiels,
  2. Alain Delabays,
  3. Eric Eeckhout
  1. Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
  1. Correspondence to Dr Vincent Michiels, Department of Cardiology, Lausanne University Hospital, Rue du Bugnon 46, Lausanne 1011, Switzerland; vincentmichiels{at}

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A 32-year-old woman was diagnosed at the age of 8 years with a third degree atrioventricular block for which a DDD pacemaker was implanted. She now presented with exertional fatigue and dyspnoea because of a pacemaker lead-induced isolated tricuspid valve stenosis (mean gradient was 4 mm Hg at rest and 19 mm Hg during exercise, measured valve area using planimetry …

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  • Contributors All the above mentioned authors contributed equally to the writing of this Image and approved the manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.