Key result
Permanent pacemaker implantation is more common following tricuspid valve replacement compared to repair, with reported incidences of 27.3-31% versus 9-12.6%, respectively.
Why the study?
Does tricuspid valve replacement increase the risk of permanent pacemaker implantation compared to tricuspid valve repair?
Does tricuspid valve replacement increase the risk of permanent pacemaker implantation compared to tricuspid valve repair?
Answers are grounded in this paper and cite their sources.
Tricuspid valve replacement carries a significantly higher risk of requiring permanent pacemaker implantation compared to repair, highlighting the need for tailored pacing strategies.
Tricuspid valve (TV) intervention is associated with higher risk of intra- and post-operative conduction system abnormalities in comparison to other valvular interventions, particularly when replacement is required1,2. Reported rates of permanent pacemaker implantation (PPM) after surgery approaches 19%1, and is more common following valve replacement compared to repair, with incidences of 27.3-31% vs 9-12.6%, respectively1-4. Predictors of post-tricuspid valve replacement (TVR) conduction abnormalities include preoperative conduction abnormalities (bundle branch or atrioventricular (AV) block), longer bypass or cross-clamp times, and concomitant valve procedures1,3.
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Jafari et al. (2026) conducted an editorial in Tricuspid valve interventions requiring replacement or repair. Tricuspid valve replacement vs. Tricuspid valve repair was evaluated on Permanent pacemaker implantation (PPM). Permanent pacemaker implantation is more common following tricuspid valve replacement compared to repair, with reported incidences of 27.3-31% versus 9-12.6%, respectively.
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