{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:12:14Z","timestamp":1760148734599,"version":"build-2065373602"},"reference-count":15,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T00:00:00Z","timestamp":1685059200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Cardiological and oncological patients comprise the majority of patients admitted to the emergency unit with chronic or acute conditions that are the dominant cause of death worldwide. However, electrotherapy and implantable devices (pacemakers and cardioverters) improve the prognosis of cardiological patients. We present the case report of a patient who, in the past, had a pacemaker implanted due to symptomatic sick sinus syndrome (SSS) without removing the two remaining leads. Echocardiography revealed severe tricuspid valve regurgitation. The tricuspid valve septal cusp was in a restricting position due to the two ventricular leads passing through the valve. A few years later, she was diagnosed with breast cancer. We present a 65-year-old female admitted to the department due to right ventricular failure. The patient manifested symptoms of right heart failure, predominated by ascites and lower extremity edema, despite increasing doses of diuretics. The patient underwent a mastectomy two years ago due to breast cancer and was qualified for thorax radiotherapy. A new pacemaker system was implanted in the right subclavian area as the pacemaker generator occupied the radiotherapy field. In the case of right ventricular lead removal and the need for pacing and resynchronization therapy, guidelines allow a coronary sinus for LV pacing to avoid passing the leads through the tricuspid valve. We facilitated this approach in our patient, suggesting that the percentage of ventricular pacing was very low.<\/jats:p>","DOI":"10.3390\/jpm13060896","type":"journal-article","created":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T02:05:44Z","timestamp":1685066744000},"page":"896","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Abandoned Intracardiac Electrodes in an Oncological Patient"],"prefix":"10.3390","volume":"13","author":[{"given":"Aneta","family":"Klotzka","sequence":"first","affiliation":[{"name":"Department of Cardiology, Poznan University of Medical Sciences, D\u0142uga 1\/2 Street, 61-848 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylwia","family":"Iwa\u0144czyk","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Poznan University of Medical Sciences, D\u0142uga 1\/2 Street, 61-848 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karolina","family":"Soba\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Poznan University of Medical Sciences, D\u0142uga 1\/2 Street, 61-848 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Przemys\u0142aw","family":"Mitkowski","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Poznan University of Medical Sciences, D\u0142uga 1\/2 Street, 61-848 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0833-6196","authenticated-orcid":false,"given":"Patrycja","family":"Wo\u017aniak","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Poznan University of Medical Sciences, D\u0142uga 1\/2 Street, 61-848 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2630-5016","authenticated-orcid":false,"given":"Maciej","family":"Lesiak","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Poznan University of Medical Sciences, D\u0142uga 1\/2 Street, 61-848 Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3427","DOI":"10.1093\/eurheartj\/ehab364","article-title":"2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy","volume":"42","author":"Glikson","year":"2021","journal-title":"Eur. Heart J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1111\/pace.12572","article-title":"Risk of Device Malfunction in Cancer Patients with Implantable Cardiac Device Undergoing Radiotherapy: A Population-Based Cohort Study","volume":"38","author":"Zaremba","year":"2015","journal-title":"Pacing Clin. Electrophysiol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.33963\/KP.15637","article-title":"Is anthracycline-induced heart failure reversible?","volume":"78","author":"Klotzka","year":"2020","journal-title":"Kardiol. Pol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.cjca.2018.11.014","article-title":"Prospective Study of Tricuspid Regurgitation Associated with Permanent Leads After Cardiac Rhythm Device Implantation","volume":"35","author":"Elbarasi","year":"2019","journal-title":"Can. J. 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Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e008666","DOI":"10.1161\/CIRCIMAGING.118.008666","article-title":"Prognostic Implications of Right Ventricular Free Wall Longitudinal Strain in Patients with Significant Functional Tricuspid Regurgitation","volume":"12","author":"Prihadi","year":"2019","journal-title":"Circ. Cardiovasc. Imaging"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1813","DOI":"10.1136\/heartjnl-2019-315004","article-title":"Outcomes of patients with severe tricuspid regurgitation and congestive heart failure","volume":"105","author":"Kadri","year":"2019","journal-title":"Heart"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/j.jacc.2019.04.028","article-title":"Surgery Does Not Improve Survival in Patients with Isolated Severe Tricuspid Regurgitation","volume":"74","author":"Axtell","year":"2019","journal-title":"J. Am. Coll. 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Electrophysiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.hrthm.2017.10.022","article-title":"Safety of magnetic resonance imaging in patients with legacy pacemakers and defibrillators and abandoned leads","volume":"15","author":"Padmanabhan","year":"2018","journal-title":"Heart Rhythm."},{"key":"ref_14","first-page":"812","article-title":"Magnetic resonance imaging in patients with cardiac implanted electronic devices: Focus on contraindications to magnetic resonance imaging protocols","volume":"19","author":"Horwood","year":"2016","journal-title":"Europace"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Polewczyk, A., Jache\u0107, W., Nowosielecka, D., Tomaszewski, A., Brzozowski, W., Szcz\u0119\u015bniak-Sta\u0144czyk, D., Duda, K., and Kutarski, A. (2021). Lead Dependent Tricuspid Valve Dysfunction-Risk Factors, Improvement after Transvenous Lead Extraction and Long-Term Prognosis. J. Clin. Med., 11.","DOI":"10.3390\/jcm11010089"}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/13\/6\/896\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:42:27Z","timestamp":1760125347000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/13\/6\/896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,26]]},"references-count":15,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,6]]}},"alternative-id":["jpm13060896"],"URL":"https:\/\/doi.org\/10.3390\/jpm13060896","relation":{},"ISSN":["2075-4426"],"issn-type":[{"type":"electronic","value":"2075-4426"}],"subject":[],"published":{"date-parts":[[2023,5,26]]}}}