La estenosis tricuspídea es rara, y entre sus etiologías, la mediada por electrodo del marcapaso es extremadamente rara. Presentamos un caso de estenosis e insuficiencia tricuspídea graves, secundarias a electrodo del marcapaso.Tricuspid stenosis is rare, and among its etiologies, the one mediated by the pacemaker lead is extremely rare. We present a case of severe tricuspid stenosis and regurgitation secondary to pacemaker lead.