Abstract
This case report presents the medical history of an 81-year-old woman with heart failure with preserved ejection fraction, sinus node disease in the form of symptomatic bradycardia, persistent atrial fibrillation, acute tricuspid regurgitation surgically repaired in 2013, and moderate mitral regurgitation. The patient had a pacemaker implanted in 1995 which was removed in 2013 due to a pacemaker pocket infection. The procedure was complicated by tricuspid valve injury. The patient underwent valve reconstruction and an epicardial DDD pacemaker implantation. The pacemaker generator was located in a space developed between the muscles and fascia of the abdominal wall. Currently, due to increasing ventricular exit block and pacemaker battery depletion, the decision was made to implant a leadless MICRA pacemaker.
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