title: [Placement of an implantable defibrillator via the endocavitary route in a patient presenting with a univentricular heart and a Glenn anastomosis].
abstract: We report the observation of a female 45 year old patient presenting with a post-surgery complex congenital cardiopathy, associated with serious ventricular rhythm disorders necessitating the placement of an implantable defibrillator. The palliative surgery performed (cavo-pulmonary Glenn anastomosis) does not allow the usual access to the right ventricle via the superior vena cava. The different possibilities for defibrillator implantation are discussed. These include associating a surgical approach to introduce the bipolar probe with subcutaneous tunnelling to connect the probe to the box.
authors.affiliation: Hôpital cardiologique du Haut-Léveque, CHU de Bordeaux, avenue de Magellan, 33604 Pessac.
authors.forename: F
authors.initials: F
authors.lastname: Casassus
authors.forename: J-B
authors.initials: JB
authors.lastname: Thambo
authors.forename: S
authors.initials: S
authors.lastname: Reuter
authors.forename: G
authors.initials: G
authors.lastname: Espil
authors.forename: X
authors.initials: X
authors.lastname: Roques
authors.forename: P
authors.initials: P
authors.lastname: Dos Santos
authors.forename: M
authors.initials: M
authors.lastname: Jimenez
authors.forename: J
authors.initials: J
authors.lastname: Clémenty
authors.forename: A
authors.initials: A
authors.lastname: Choussat
mesh_terms: D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000628:therapy*; D017147:Defibrillators, Implantable; D005260:Female; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care; D019919:Prosthesis Implantation / Q000379:methods*; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000601:surgery