A patient with congenital heart disease and ventricular tachycardia: what is the course of the device lead?
A 16-year-old boy with Ebstein's anomaly of the tricuspid valve developed exercise-induced rapid ventricular tachycardia. He had previously undergone tricuspid valvuloplasty and bidirectional cavopulmonary anastamosis due to progressive symptoms. A single-chamber implantable cardioverter-defibrillator was implanted, utilizing a novel transvenous approach to the right ventricle. Technical considerations, risks, and benefits of this approach are discussed.
Kanter
Ronald J
RJ
Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina 27710, USA. kante001@mc.duke.edu
Darden
William B
WB
Herlong
J René
JR
Barker
Piers C
PC
Jaggers
James
J
D000293:Adolescent; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D006330:Heart Defects, Congenital / Q000628:therapy*; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods*; D017180:Tachycardia, Ventricular / Q000517:prevention & control*