Case report
Pacemaker lead-related tricuspid stenosis successfully treated with percutaneous balloon valvuloplasty guided by 3D echocardiography
Estenose tricúspide associada a electrocateter de pacemaker tratada com sucesso com valvuloplastia percutânea com balão guiada por ecocardiografia 3D
Read
6060
Timeswas read the article
1797
Total PDF
4263
Total HTML
Share statistics
array:24 [ "pii" => "S2174204914002694" "issn" => "21742049" "doi" => "10.1016/j.repce.2014.06.007" "estado" => "S300" "fechaPublicacion" => "2014-11-01" "aid" => "544" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2014" "documento" => "simple-article" "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Rev Port Cardiol. 2014;33:739.e1-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3294 "formatos" => array:3 [ "EPUB" => 169 "HTML" => 2448 "PDF" => 677 ] ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S0870255114002595" "issn" => "08702551" "doi" => "10.1016/j.repc.2014.06.006" "estado" => "S300" "fechaPublicacion" => "2014-11-01" "aid" => "544" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Rev Port Cardiol. 2014;33:739.e1-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4175 "formatos" => array:3 [ "EPUB" => 192 "HTML" => 3126 "PDF" => 857 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Pacemaker lead-related tricuspid stenosis successfully treated with percutaneous balloon valvuloplasty guided by 3D echocardiography" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "739.e1" "paginaFinal" => "739.e3" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Estenose tricúspide associada a electrocateter de <span class="elsevierStyleItalic">pacemaker</span> tratada com sucesso com valvuloplastia percutânea com balão guiada por ecocardiografia 3D" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 525 "Ancho" => 1599 "Tamanyo" => 73794 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Angiographic images of percutaneous tricuspid valvuloplasty: (A) pigtail catheter across the tricuspid valve; (B) Amplatz Super Stiff guidewire across the valve; (C) balloon inflation.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Carlos Rama-Merchan, Antonio Arribas-Jimenez, Javier Martin-Moreiras, Eulogio Garcia-Fernandez, Ignacio Cruz-Gonzalez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Juan Carlos" "apellidos" => "Rama-Merchan" ] 1 => array:2 [ "nombre" => "Antonio" "apellidos" => "Arribas-Jimenez" ] 2 => array:2 [ "nombre" => "Javier" "apellidos" => "Martin-Moreiras" ] 3 => array:2 [ "nombre" => "Eulogio" "apellidos" => "Garcia-Fernandez" ] 4 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Cruz-Gonzalez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2174204914002694" "doi" => "10.1016/j.repce.2014.06.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204914002694?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114002595?idApp=UINPBA00004E" "url" => "/08702551/0000003300000011/v1_201411200056/S0870255114002595/v1_201411200056/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2174204914002700" "issn" => "21742049" "doi" => "10.1016/j.repce.2014.04.007" "estado" => "S300" "fechaPublicacion" => "2014-11-01" "aid" => "547" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2014;33:741-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2671 "formatos" => array:3 [ "EPUB" => 142 "HTML" => 2131 "PDF" => 398 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Assessment of interrupted aortic arch with magnetic resonance angiography" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "741" "paginaFinal" => "742" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "A avaliação do arco aórtico interrompido por angiografia com ressonância magnética" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1806 "Ancho" => 2167 "Tamanyo" => 269956 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Three-dimensional volume rendering magnetic resonance angiography images: (A) left posterior oblique view and (B) right posterior oblique view, showing interruption of the descending aorta after the branching of the left subclavian artery. IA: interrupted aorta; IMA: internal mammary artery; LCCA: left common carotid artery; LSCA: left subclavian artery; RCCA: right common carotid artery; TrBc: truncus brachiocephalicus.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fahri Halit Besir, Yasemin Turker, Yasin Turker, Omer Onbas" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Fahri Halit" "apellidos" => "Besir" ] 1 => array:2 [ "nombre" => "Yasemin" "apellidos" => "Turker" ] 2 => array:2 [ "nombre" => "Yasin" "apellidos" => "Turker" ] 3 => array:2 [ "nombre" => "Omer" "apellidos" => "Onbas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255114002625" "doi" => "10.1016/j.repc.2014.04.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114002625?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204914002700?idApp=UINPBA00004E" "url" => "/21742049/0000003300000011/v1_201412120159/S2174204914002700/v1_201412120159/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2174204914002682" "issn" => "21742049" "doi" => "10.1016/j.repce.2014.06.006" "estado" => "S300" "fechaPublicacion" => "2014-11-01" "aid" => "542" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "simple-article" "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Rev Port Cardiol. 2014;33:737.e1-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3633 "formatos" => array:3 [ "EPUB" => 199 "HTML" => 2893 "PDF" => 541 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Holt-Oram syndrome: A case report" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "pt" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "737.e1" "paginaFinal" => "737.e5" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Síndrome Holt-Oram: a propósito de um caso clinico" ] ] "contieneResumen" => array:2 [ "en" => true "pt" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1313 "Ancho" => 2919 "Tamanyo" => 223764 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Holter strip showing atrial fibrillation and complete atrioventricular block.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Joana Chin, Salomé Pereira, Ana Camacho, Bernardo Pessoa, Dina Bento, José Amado, Jorge Pereira, Ilídio de Jesus" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Joana" "apellidos" => "Chin" ] 1 => array:2 [ "nombre" => "Salomé" "apellidos" => "Pereira" ] 2 => array:2 [ "nombre" => "Ana" "apellidos" => "Camacho" ] 3 => array:2 [ "nombre" => "Bernardo" "apellidos" => "Pessoa" ] 4 => array:2 [ "nombre" => "Dina" "apellidos" => "Bento" ] 5 => array:2 [ "nombre" => "José" "apellidos" => "Amado" ] 6 => array:2 [ "nombre" => "Jorge" "apellidos" => "Pereira" ] 7 => array:2 [ "nombre" => "Ilídio" "apellidos" => "de Jesus" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255114002571" "doi" => "10.1016/j.repc.2014.06.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114002571?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204914002682?idApp=UINPBA00004E" "url" => "/21742049/0000003300000011/v1_201412120159/S2174204914002682/v1_201412120159/en/main.assets" ] "en" => array:19 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Pacemaker lead-related tricuspid stenosis successfully treated with percutaneous balloon valvuloplasty guided by 3D echocardiography" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "739.e1" "paginaFinal" => "739.e3" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Carlos Rama-Merchan, Antonio Arribas-Jimenez, Javier Martin-Moreiras, Eulogio Garcia-Fernandez, Ignacio Cruz-Gonzalez" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Juan Carlos" "apellidos" => "Rama-Merchan" "email" => array:1 [ 0 => "ramamerchan@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Antonio" "apellidos" => "Arribas-Jimenez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Javier" "apellidos" => "Martin-Moreiras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Eulogio" "apellidos" => "Garcia-Fernandez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Ignacio" "apellidos" => "Cruz-Gonzalez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cardiología, Hospital Clínico Universitario de Salamanca, Salamanca, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cardiologia, Hospital Clínico San Carlos, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Estenose tricúspide associada a electrocateter de <span class="elsevierStyleItalic">pacemaker</span> tratada com sucesso com valvuloplastia percutânea com balão guiada por ecocardiografia 3D" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 526 "Ancho" => 1601 "Tamanyo" => 82641 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Angiographic images of percutaneous tricuspid valvuloplasty: (A) pigtail catheter across the tricuspid valve; (B) Amplatz Super Stiff guidewire across the valve; (C) balloon inflation.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0080" class="elsevierStylePara elsevierViewall">We present the case of a 52-year-old woman with a history of congenital atrioventricular block requiring pacemaker implantation at the age of 22 years, who was admitted with dyspnea and lower limb edema. Transthoracic echocardiography revealed severe tricuspid valve stenosis (gradients over 10 mmHg) secondary to fibrosis of one of the valve leaflets located over the pacemaker lead. No tricuspid regurgitation was observed.</p><p id="par0010" class="elsevierStylePara elsevierViewall">After medical and surgical assessment, it was decided that the patient was a candidate for percutaneous tricuspid valvuloplasty (PTV). This procedure was accepted by the patient, who gave her informed consent.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Before PTV, and given the fact that the patient was pacemaker-dependent, two epicardial leads were implanted in the right ventricle.</p><p id="par0020" class="elsevierStylePara elsevierViewall">PTV was performed with general anesthesia and orotracheal intubation, and was monitored with real-time three-dimensional (RT3D) transesophageal echocardiography (TEE). In mid-esophageal plane at 25° with simultaneous multiplanar visualization (x-plane mode), long- and short-axis images of the tricuspid valve were obtained. In RT3D mode of the complete volume and using the cropping tool, a view of the tricuspid valve was then obtained from the right atrium (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). The maximum diameter of the annulus in long- and short-axis views was 30 and 20 mm, respectively.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The approach was via the right femoral vein, and the tricuspid valve was crossed by a Glidecath MP catheter (Terumo Medical Corporation) and a straight guidewire. This was replaced by a pigtail catheter, and transvalvular gradients of 15 mmHg were observed. A stiff guidewire (Amplatz Super Stiff, Boston Scientific) was placed over this catheter, and a 30 mm×4 mm balloon valvuloplasty catheter (Tyshak, Numed Inc.) was introduced. Inflation was monitored by fluoroscopy (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>) and RT3D-TEE. After inflation, a transvalvular gradient of 2.8 mmHg was measured by echocardiography. No tricuspid regurgitation was observed.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">The patient was discharged after 48 hours without complications. Six months after the procedure, she was in NYHA functional class I with no clinical evidence of right heart failure. The transvalvular gradient by transthoracic echocardiography was 2 mmHg, and no tricuspid regurgitation was observed.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Discussion</span><p id="par0035" class="elsevierStylePara elsevierViewall">The most common etiology of tricuspid stenosis is rheumatic, and in most cases it is associated with valvular regurgitation.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Interestingly, there have been reports of cases of tricuspid stenosis without associated valvular regurgitation, most of them pacemaker lead-induced.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> The pathophysiology of this tricuspid stenosis includes mechanical irritation of the leaflets by the leads, leading to fibrosis, calcification, endocarditis and/or thrombus formation.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">TVR may be a therapeutic alternative to surgery in cases of pure tricuspid stenosis without other concomitant valvulopathies.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> There are few data for this option, but the reported results are favorable.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">The implementation of PTV is complicated by the choice of balloon size, because the tricuspid annulus is oval in shape, but assumes a more circular shape on dilation. This makes it more difficult to assess the annulus with two-dimensional echocardiography and hence to choose a balloon for PTV.</p><p id="par0050" class="elsevierStylePara elsevierViewall">RT3D-TEE gives a clear characterization of the morphology and abnormalities of the tricuspid valve,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> as well as providing short-axis views of the valve (simultaneously viewing the three leaflets and their junction with the annulus), enabling planimetry and calculating the area and size of the annulus with high accuracy.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">RT3D-TEE may thus be a helpful tool in monitoring TVR, providing a detailed image of the tricuspid valve. With this technique, balloon size can be selected with greater accuracy and the results of its implementation can be comprehensively assessed.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Ethical disclosures</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Protection of human and animal subjects</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Confidentiality of data</span><p id="par0065" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Right to privacy and informed consent</span><p id="par0070" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conflicts of interest</span><p id="par0075" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:8 [ 0 => array:2 [ "identificador" => "xres389793" "titulo" => "Abstract" ] 1 => array:2 [ "identificador" => "xpalclavsec368068" "titulo" => "Keywords" ] 2 => array:2 [ "identificador" => "xres389794" "titulo" => "Resumo" ] 3 => array:2 [ "identificador" => "xpalclavsec368069" "titulo" => "Palavras-chave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Discussion" ] 5 => array:3 [ "identificador" => "sec0010" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0015" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0025" "titulo" => "Right to privacy and informed consent" ] ] ] 6 => array:2 [ "identificador" => "sec0030" "titulo" => "Conflicts of interest" ] 7 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-05-12" "fechaAceptado" => "2014-06-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec368068" "palabras" => array:4 [ 0 => "Tricuspid stenosis" 1 => "Pacemaker" 2 => "Balloon valvuloplasty" 3 => "3D echocardiography" ] ] ] "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec368069" "palabras" => array:4 [ 0 => "Estenose tricúspide" 1 => "<span class="elsevierStyleItalic">Pacemaker</span>" 2 => "Valvuloplastia com balão" 3 => "Ecocardiografia 3D" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The most common etiology of tricuspid stenosis is rheumatic, and in most cases it is associated with valvular regurgitation. Interestingly, there have been reports of tricuspid stenosis without associated valvular regurgitation, mostly related to pacemaker leads. Percutaneous tricuspid valvuloplasty may be a therapeutic alternative to surgery in cases of pure tricuspid stenosis without other concomitant valvulopathies. We report the case of a 52-year-old woman with pacemaker lead-related tricuspid stenosis successfully treated with percutaneous valvuloplasty guided by 3D echocardiography.</p>" ] "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A causa mais comum da estenose tricúspide é reumática, e na maioria dos casos está associada com insuficiência valvular. Curiosamente, tem havido relatos de estenose tricúspide sem insuficiência associada, sendo a maioria associados com electrocateteres de <span class="elsevierStyleItalic">pacemaker</span>. A plastia da valva tricúspide pode ser uma alternativa em casos de estenose valvular tricúspide pura, sem outras valvulopatias concomitantes. Relatamos o caso de uma mulher de 52 anos com estenose tricúspide associada a electrocateter de <span class="elsevierStyleItalic">pacemaker</span> tratada com sucesso com valvuloplastia percutânea guiada por ecocardiografia 3D.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 973 "Ancho" => 1300 "Tamanyo" => 145925 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Real-time three-dimensional transesophageal echocardiography: view of the tricuspid valve in diastole from the right atrium, revealing adherence of the pacing lead to the septal leaflet (arrow).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 526 "Ancho" => 1601 "Tamanyo" => 82641 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Angiographic images of percutaneous tricuspid valvuloplasty: (A) pigtail catheter across the tricuspid valve; (B) Amplatz Super Stiff guidewire across the valve; (C) balloon inflation.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tricuspid and pulmonary valve disease evaluation and management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P.M. Shah" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Cardiol" "fecha" => "2010" "volumen" => "63" "paginaInicial" => "1349" "paginaFinal" => "1365" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21070730" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lead-induced tricuspid stenosis – successful management by balloon angioplasty" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T. Hussain" 1 => "W.B. Knight" 2 => "K.A. McLeod" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1540-8159.2009.02189.x" "Revista" => array:7 [ "tituloSerie" => "Pacing Clin Electrophysiol" "fecha" => "2009" "volumen" => "32" "paginaInicial" => "140" "paginaFinal" => "142" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19140926" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0168822711005511" "estado" => "S300" "issn" => "01688227" ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Valvuloplasty for tricuspid stenosis caused by a ventriculoatrial shunt" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "Q. Akram" 1 => "D. Saravanan" 2 => "R. Levy" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/ccd.22745" "Revista" => array:6 [ "tituloSerie" => "Catheter Cardiovasc Interv" "fecha" => "2011" "volumen" => "77" "paginaInicial" => "722" "paginaFinal" => "725" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20824751" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A. Vahanian" 1 => "O. Alfieri" 2 => "F. Andreotti" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/ejcts/ezs455" "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "2012" "volumen" => "42" "paginaInicial" => "S1" "paginaFinal" => "S44" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22922698" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tricuspid balloon valvuloplasty to treat tricuspid stenosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "E. Yeter" 1 => "K. Ozlem" 2 => "H. Kilic" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Heart Valve Dis" "fecha" => "2010" "volumen" => "19" "paginaInicial" => "159" "paginaFinal" => "160" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20329507" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Three-dimensional echocardiography in valvular heart disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Q. Cai" 1 => "M. Ahmad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1540-8175.2011.01523.x" "Revista" => array:6 [ "tituloSerie" => "Echocardiography" "fecha" => "2012" "volumen" => "29" "paginaInicial" => "88" "paginaFinal" => "97" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23186293" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003300000011/v1_201412120159/S2174204914002694/v1_201412120159/en/main.assets" "Apartado" => array:4 [ "identificador" => "9919" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003300000011/v1_201412120159/S2174204914002694/v1_201412120159/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204914002694?idApp=UINPBA00004E" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 4 | 8 |
| 2024 October | 33 | 28 | 61 |
| 2024 September | 41 | 20 | 61 |
| 2024 August | 42 | 28 | 70 |
| 2024 July | 32 | 32 | 64 |
| 2024 June | 38 | 30 | 68 |
| 2024 May | 48 | 25 | 73 |
| 2024 April | 36 | 21 | 57 |
| 2024 March | 50 | 20 | 70 |
| 2024 February | 49 | 31 | 80 |
| 2024 January | 20 | 18 | 38 |
| 2023 December | 35 | 24 | 59 |
| 2023 November | 31 | 26 | 57 |
| 2023 October | 20 | 14 | 34 |
| 2023 September | 23 | 21 | 44 |
| 2023 August | 32 | 18 | 50 |
| 2023 July | 25 | 13 | 38 |
| 2023 June | 33 | 8 | 41 |
| 2023 May | 43 | 23 | 66 |
| 2023 April | 23 | 5 | 28 |
| 2023 March | 36 | 23 | 59 |
| 2023 February | 38 | 21 | 59 |
| 2023 January | 34 | 15 | 49 |
| 2022 December | 32 | 25 | 57 |
| 2022 November | 54 | 23 | 77 |
| 2022 October | 29 | 19 | 48 |
| 2022 September | 30 | 28 | 58 |
| 2022 August | 35 | 26 | 61 |
| 2022 July | 35 | 37 | 72 |
| 2022 June | 15 | 13 | 28 |
| 2022 May | 29 | 24 | 53 |
| 2022 April | 27 | 27 | 54 |
| 2022 March | 36 | 39 | 75 |
| 2022 February | 25 | 20 | 45 |
| 2022 January | 24 | 21 | 45 |
| 2021 December | 21 | 31 | 52 |
| 2021 November | 31 | 31 | 62 |
| 2021 October | 31 | 35 | 66 |
| 2021 September | 22 | 20 | 42 |
| 2021 August | 27 | 25 | 52 |
| 2021 July | 29 | 26 | 55 |
| 2021 June | 21 | 16 | 37 |
| 2021 May | 27 | 25 | 52 |
| 2021 April | 35 | 27 | 62 |
| 2021 March | 33 | 16 | 49 |
| 2021 February | 47 | 12 | 59 |
| 2021 January | 25 | 13 | 38 |
| 2020 December | 34 | 9 | 43 |
| 2020 November | 33 | 17 | 50 |
| 2020 October | 14 | 8 | 22 |
| 2020 September | 47 | 8 | 55 |
| 2020 August | 10 | 4 | 14 |
| 2020 July | 43 | 5 | 48 |
| 2020 June | 30 | 4 | 34 |
| 2020 May | 41 | 2 | 43 |
| 2020 April | 31 | 4 | 35 |
| 2020 March | 40 | 4 | 44 |
| 2020 February | 57 | 32 | 89 |
| 2020 January | 22 | 5 | 27 |
| 2019 December | 21 | 4 | 25 |
| 2019 November | 19 | 8 | 27 |
| 2019 October | 40 | 2 | 42 |
| 2019 September | 16 | 8 | 24 |
| 2019 August | 20 | 8 | 28 |
| 2019 July | 34 | 13 | 47 |
| 2019 June | 31 | 2 | 33 |
| 2019 May | 40 | 8 | 48 |
| 2019 April | 38 | 13 | 51 |
| 2019 March | 160 | 13 | 173 |
| 2019 February | 137 | 9 | 146 |
| 2019 January | 128 | 6 | 134 |
| 2018 December | 117 | 22 | 139 |
| 2018 November | 125 | 9 | 134 |
| 2018 October | 145 | 12 | 157 |
| 2018 September | 30 | 12 | 42 |
| 2018 August | 23 | 3 | 26 |
| 2018 July | 22 | 2 | 24 |
| 2018 June | 40 | 4 | 44 |
| 2018 May | 29 | 3 | 32 |
| 2018 April | 69 | 5 | 74 |
| 2018 March | 39 | 9 | 48 |
| 2018 February | 31 | 5 | 36 |
| 2018 January | 24 | 4 | 28 |
| 2017 December | 52 | 8 | 60 |
| 2017 November | 29 | 4 | 33 |
| 2017 October | 29 | 10 | 39 |
| 2017 September | 32 | 9 | 41 |
| 2017 August | 32 | 13 | 45 |
| 2017 July | 20 | 9 | 29 |
| 2017 June | 28 | 5 | 33 |
| 2017 May | 29 | 9 | 38 |
| 2017 April | 32 | 3 | 35 |
| 2017 March | 32 | 66 | 98 |
| 2017 February | 44 | 5 | 49 |
| 2017 January | 37 | 2 | 39 |
| 2016 December | 51 | 14 | 65 |
| 2016 November | 29 | 10 | 39 |
| 2016 October | 39 | 6 | 45 |
| 2016 September | 35 | 7 | 42 |
| 2016 August | 22 | 3 | 25 |
| 2016 July | 24 | 12 | 36 |
| 2016 June | 12 | 9 | 21 |
| 2016 May | 23 | 3 | 26 |
| 2016 April | 25 | 11 | 36 |
| 2016 March | 24 | 14 | 38 |
| 2016 February | 22 | 20 | 42 |
| 2016 January | 32 | 18 | 50 |
| 2015 December | 27 | 18 | 45 |
| 2015 November | 17 | 12 | 29 |
| 2015 October | 26 | 21 | 47 |
| 2015 September | 24 | 11 | 35 |
| 2015 August | 24 | 9 | 33 |
| 2015 July | 20 | 21 | 41 |
| 2015 June | 13 | 12 | 25 |
| 2015 May | 23 | 24 | 47 |
| 2015 April | 9 | 23 | 32 |
| 2015 March | 17 | 18 | 35 |
| 2015 February | 15 | 7 | 22 |
| 2015 January | 33 | 13 | 46 |
| 2014 December | 15 | 5 | 20 |
Show all
