Transvenous valve-in-valve replacement preserving the function of a transvalvular defibrillator lead

Although feasibility and efficacy of percutaneous tricuspid valve‐in‐valve implantation have been established, a transtricuspid pacing or defibrillator lead might preclude this technique: lead damage can cause lead dysfunction resulting in inappropriate or inefficient pacing or shocks. In these cases, lead removal is thought to be the only option. We describe a patient who presented with rapid clinical deterioration due to tricuspid valve...