Ebstein anomaly after tricuspid valve replacement needing pacemaker implantation: Case submitted by Christopher J. McLeod, MBChB, PhD

Abstract

1. The presence of a prosthetic tricuspid valve is a relative but not absolute contraindication to endocardial pacing. 2. Epicardial pacing is a good option but does involve more surgery. 3. Innovative endocardial approaches, such as the leadless pacemaker, can be considered depending on the indication to pace. 4. Hybrid procedures (part endocardial and part epicardial) and newer leads (lumenless leads) can be used in some patients.