[Placement of an implantable defibrillator via the endocavitary route in a patient presenting with a univentricular heart and a Glenn anastomosis].
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.
Casassus
F
F
Hôpital cardiologique du Haut-Léveque, CHU de Bordeaux, avenue de Magellan, 33604 Pessac.
Thambo
J-B
JB
Reuter
S
S
Espil
G
G
Roques
X
X
Dos Santos
P
P
Jimenez
M
M
Clémenty
J
J
Choussat
A
A
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