title: Lead configuration for defibrillator implantation in a patient with congenital heart disease and a mechanical prosthetic tricuspid valve.
abstract: The authors devised a nonthoracotomy defibrillation system for a patient with a prosthetic tricuspid valve using existing technology and previously established implantation techniques. Their lead configuration deviates substantially from existing designs in its primary use of a coronary sinus defibrillation coil and a left-sided subcutaneous array to distribute current across the ventricular myocardium.
authors.affiliation: Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
authors.forename: C T
authors.initials: CT
authors.lastname: Leng
authors.forename: J E
authors.initials: JE
authors.lastname: Crosson
authors.forename: H
authors.initials: H
authors.lastname: Calkins
authors.forename: R D
authors.initials: RD
authors.lastname: Berger
mesh_terms: D000328:Adult; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D006330:Heart Defects, Congenital / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000628:therapy*; D013771:Tetralogy of Fallot / Q000150:complications / Q000601:surgery; D013908:Thoracotomy / Q000379:methods; D014261:Tricuspid Valve