Liver dysfunction as a rare presentation of ICD lead-induced tricuspid regurgitation: a case report.

ABSTRACT:

Background

Implanted cardiac devices with right ventricular leads can cause tricuspid regurgitation and subsequent heart failure. In these patients, congestive hepatopathy because of tricuspid regurgitation is well documented; however, the presentation of liver dysfunction without overt heart failure is rare.

Case summary

We report a case of a 56-year-old man with presumed hypertrophic cardiomyopathy, presenting with jaundice without signs of decompensated heart failure, 8 years post-implantation of dual-chamber implantable cardiac defibrillator (ICD). A workup for abnormal liver function, including a liver biopsy, determined congestive hepatopathy as the cause. Cardiac imaging revealed severe tricuspid regurgitation caused by right ventricular ICD lead causing tricuspid val

SUBMITTER: Fleming S 

PROVIDER: S-EPMC11600958 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature