Figure 9From: Successful management of multiple permanent pacemaker complications – infection, 13 year old silent lead perforation and exteriorisation following failed percutaneous extraction, superior vena cava obstruction, tricuspid valve endocarditis, pulmonary embolism and prosthetic tricuspid valve thrombosis Doppler echocardiogram showing a prolonged pressure half time of 270 msec suggestive of severe prosthetic tricuspid obstruction.Back to article page