风湿性心脏病三尖瓣重度关闭不全伴大量返流,交界性逸搏伴心室夺获,行起搏器植入术,术中见右房非常巨大,导丝无法跨过三尖瓣,改用多功能导管使用右心导管操作手法,成功将导管送入右室,交换导丝,将长J形导丝(2m)送入左下肺动脉避免操作中导丝脱出,在室间隔部植入3830电极。 Rheumatic heart disease with severe tricuspid regurgitation with a large number of reflux, borderline atrophy with ventricular seizure, the pacemaker implantation, intraoperative see the right atrium is very large, the guide wire can not cross the tricuspid valve, change The use of multi-catheter right heart catheterization practices, the successful delivery of the catheter into the right ventricle, the exchange of guide wire, the long J-shaped guide wire (2m) into the left lower pulmonary artery to avoid operation of the guide wire prolapse in the interventricular septum implantation 3830 electrode.