Permanent Pacemaker Lead Entrapment: Role of the Transesophageal Echocardiography

Numerous complications induced by pacemaker electrodes have been reported. Although mild tricuspid regurgitation is a well-documented complication of transvenous right ventricular pacemaker leads secondary to abnormal valve coaptation, severe tricuspid regurgitation resultingfrom perforation of the tricuspid valve itself is a rare complication. This case report details a patient with severe tricuspid regurgitation secondary to impingement of the tricuspid valve by a permanent pacing lead that was diagnosed by transesophageal echocardiography. Surgical repair was advocated because of symptomatic significant tricuspid regurgitation.