title: [Complex implantation of an automatic defibrillator-cardioverter through a left superior vena cava].
abstract: We describe the case of a 19-year-old girl with a left superior vena cava and a surgically corrected complete atrioventricular canal defect. After an inhospital sudden death an automatic defibrillator-cardioverter was implanted through her left superior vena cava. During the postoperative course, multiple inappropriate discharges caused by myopotential oversensing indicated the relocation of the electrode and, finally, insertion of two epicardial leads by a left submammarian thoracotomy approach, produced an optimal result.
authors.affiliation: Servicio de Cirugía Cardiovascular, Hospital General Universitario Gregorio Marañón, Madrid.
authors.forename: M
authors.initials: M
authors.lastname: Castaño Ruiz
authors.forename: J
authors.initials: J
authors.lastname: Albertos Salvador
authors.forename: M
authors.initials: M
authors.lastname: Ruiz Fernández
authors.forename: J
authors.initials: J
authors.lastname: Almendral Garrote
authors.forename: J M
authors.initials: JM
authors.lastname: González Santos
authors.forename: J F
authors.initials: JF
authors.lastname: González de Diego
authors.forename: M J
authors.initials: MJ
authors.lastname: Rico González
authors.forename: J L
authors.initials: JL
authors.lastname: Vallejo Ruiz
mesh_terms: D000328:Adult; D001281:Atrial Fibrillation / Q000517:prevention & control; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D012086:Reoperation; D014683:Vena Cava, Superior / Q000002:abnormalities*
vernacular_title: Implantación compleja de desfibrilador-cardioversor automático a través de una vena cava superior izquierda.