Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
A Significant Improvement in Exercise Tolerance and Liver Stiffness after Valve Replacement Surgery for Lead-related Tricuspid Regurgitation: A Case Report
Masaaki Konishi, Yoshinori Okazaki, Maria Abe, Toru Suzuki, Rie Nakashima, Shintaro Minegishi, Noriyuki Kawaura, Naohiro Komura, Yuka Taguchi, Junya Hosoda, Daisuke Kamimura, Noriaki Iwahashi, Tomoaki Ishigami, Norihisa Tominaga, Tomoyuki Minami, Aya Saito, Kiyoshi Hibi
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Keywords: heart failure, pacemaker, cardiovascular implantable electronic device, cardiopulmonary exercise test
JOURNAL OPEN ACCESS Advance online publication

Article ID: 5354-25

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Abstract

We herein report a case of pacemaker lead-related tricuspid regurgitation in a repaired congenital heart disease patient, with a significant improvement in exercise tolerance and liver stiffness after surgery. Optimizing the timing of invasive procedures for tricuspid regurgitation is challenging because of an insufficient ability to predict the outcome, and percutaneous therapies have shown promising advancements in recent years. In this case, close monitoring with abdominal ultrasound and echocardiography facilitated our ability to select the optimal timing for surgical intervention.

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© 2025 by The Japanese Society of Internal Medicine

This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
https://creativecommons.org/licenses/by-nc-nd/4.0/
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