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An 89-year-old man had a transcatheter aortic valve replacement (TAVI) in 2009. He subsequently developed complete heart block and required permanent pacemaker insertion. He recently presented to Cardiology Clinic complaining of worsening dyspnoea and bilateral ankle oedema. On examination he had evidence of right heart failure with an irregularly irregular heart beat; his jugular …

Perforation of the tricuspid valve caused by an implanted device lead