Implantable cardioverter defibrillator in a child using a single subcutaneous array lead and an abdominal active can.
This report describes the case of an 8-year-old boy with hypertrophic cardiomyopathy (HCM) who underwent ICD implantation for recurrent syncope. To avoid vascular complications and to minimize the surgical approach in this small child, a nonthoracotomy ICD system was chosen using a single subcutaneous array lead with only one finger, an abdominally placed active can, and epicardial dual chamber pacing and sensing electrodes. During an 8-month follow-up, DFT was confirmed and there were no ventricular tachycardia or complications. It appears to be a safe device for the prevention of sudden cardiac death in infants and small children.
Luedemann
Monika
M
Pediatric Heart Center, Justus-Liebig-University, Giessen, Germany. monika.luedemann@paediat.med.uni-giessen.de
Hund
Karin
K
Stertmann
Wilhelm
W
Michel-Behnke
Ina
I
Gonzales
Maria
M
Akintuerk
Hakan
H
Schranz
Dietmar
D
D002312:Cardiomyopathy, Hypertrophic / Q000628:therapy; D002648:Child; D017147:Defibrillators, Implantable; D004566:Electrodes; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods