Journal of Perioperative Echocardiography

Register      Login

VOLUME 7 , ISSUE 1 ( January-June, 2019 ) > List of Articles

LETTER TO THE EDITOR

Post-cardiopulmonary Bypass Pacing: A Potential Pitfall in Assessment of Mitral Regurgitation

Subhrashis G Niyogi, Krishna P Gourav, Kamal Kajal, Sunder Negi, Rupesh Kumar

Keywords : Echocardiography, Mitral regurgitation, Pacing

Citation Information : Niyogi SG, Gourav KP, Kajal K, Negi S, Kumar R. Post-cardiopulmonary Bypass Pacing: A Potential Pitfall in Assessment of Mitral Regurgitation. J Perioper Echocardiogr 2019; 7 (1):22-23.

DOI: 10.5005/jp-journals-10034-1095

License: CC BY-NC 4.0

Published Online: 00-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Temporary pacing acts as an essential modality for maintaining hemodynamic stability in some life-threatening arrhythmias developed after cardiac surgery. We hereby discuss a case of partial balanced atrioventricular septal defect (AVSD) in which temporary pacemaker acted as a potential pitfall in the assessment of mitral regurgitation (MR). This case highlights the impact of pacing mode on MR severity and hence influencing perioperative decision-making after intracardiac repair.


PDF Share
  1. Wong DT, Leong DP, Khurana S, et al. Severe mitral regurgitation due to right ventricular apical pacing. BMJ Case Rep 2010;2010:1–4. DOI: 10.1136/bcr.12.2009.2524.
  2. DeSimone CV, Nkomo VT, DeSimone DC, et al. An approach to the stepwise management of severe mitral regurgitation with optimal cardiac pacemaker function. Indian Pacing Electrophysiol J 2014;14(2):75–78. DOI: 10.1016/S0972-6292(16) 30732-X.
  3. Andrei O, Ciudin R, Ginghina C. The relationship between atrioventricular and intraventricular conduction disorders and mitral regurgitation and the impact that implantable devices have upon it. Rev Rom Cardiol 2015;25:430–438.
  4. Motwani SK, Datt V, Tempe DK. Severe mitral regurgitation due to pacing in patient post aortic valve replacement (a case report). World J Cardiovasc Surg 2018;8(1):22–27. DOI: 10.4236/wjcs.2018. 81003.
  5. Alizadeh A, Sanati HR, Haji-Karimi M, et al. Induction and aggravation of atrioventricular valve regurgitation in the course of chronic right ventricular apical pacing. Europace 2011;13(11):1587–1590. DOI: 10.1093/europace/eur198.
  6. Janoušek J, Gebauer RA, Abdul-Khaliq H, et al. Cardiac resynchronisation therapy in paediatric and congenital heart disease: differential effects in various anatomical and functional substrates. Heart 2009;95(14):1165–1171. DOI: 10.1136/hrt.2008. 160465.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.