title: Transcutaneous implantation of an internal cardioverter defibrillator in a small infant with recurrent myocardial ischemia and cardiac arrest simulating sudden infant death syndrome.
abstract: This report describes the implantation of a transcutaneous ICD system using a small patch electrode in the subscapular position, and an active-can device in a 5.3-kg infant. The indication for ICD implantation was recurrent cardiac arrest in the presence of normal coronary anatomy. Metabolic evaluation suggested a defect in fatty acid oxidation.
authors.affiliation: Department of Cardiology, Children's National Medical Center, Washington, DC 20010, USA.
authors.forename: Anne E
authors.initials: AE
authors.lastname: Greene
authors.forename: John T
authors.initials: JT
authors.lastname: Berger
authors.forename: Yasser
authors.initials: Y
authors.lastname: Heshmat
authors.forename: Karen S
authors.initials: KS
authors.lastname: Kuehl
mesh_terms: D017147:Defibrillators, Implantable; D005227:Fatty Acids / Q000378:metabolism; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000628:therapy*; D008052:Lipid Metabolism, Inborn Errors / Q000150:complications; D019919:Prosthesis Implantation / Q000379:methods; D012008:Recurrence; D014693:Ventricular Fibrillation / Q000628:therapy
chemical_list: D005227:Fatty Acids