Direct intracardiac placement of an automatic implantable cardioverter defibrillator coil lead in a small child.
A 3.5-year-old child with hypertrophic obstructive cardiomyopathy and recurrent syncope underwent surgical left-ventricular outflow tract myectomy and implantation of a single-chamber automatic cardioverter defibrillator. A single-coil active fixation lead was introduced via a purse-string suture in the right atrial appendage and the lead tip positioned and fixed in the right-ventricular apex under direct visualization via a small right atriotomy incision. Described configuration may be considered in small children undergoing intracardiac surgery at the time of defibrillator implantation.
Kantoch
Michal J
MJ
4C3 WMC Health Sciences Centre, Division of Pediatric Cardiology, Department of Pediatrics and Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada T6G 2B7. michalkantoch@cha.ab.ca
Rebeyka
Ivan M
IM
Houlden
Lois A
LA
Dyck
John D
JD
D002312:Cardiomyopathy, Hypertrophic / Q000517:prevention & control*; D017147:Defibrillators, Implantable; D004554:Electric Countershock / Q000295:instrumentation* / Q000379:methods*; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D007223:Infant; D019919:Prosthesis Implantation / Q000379:methods*; D016896:Treatment Outcome