Transcutaneous implantation of an internal cardioverter defibrillator in a small infant with recurrent myocardial ischemia and cardiac arrest simulating sudden infant death syndrome.
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.
Greene
Anne E
AE
Department of Cardiology, Children's National Medical Center, Washington, DC 20010, USA.
Berger
John T
JT
Heshmat
Yasser
Y
Kuehl
Karen S
KS
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
D005227:Fatty Acids