title: A patient with congenital heart disease and ventricular tachycardia: what is the course of the device lead?
abstract: 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.
authors.affiliation: Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina 27710, USA. kante001@mc.duke.edu
authors.forename: Ronald J
authors.initials: RJ
authors.lastname: Kanter
authors.forename: William B
authors.initials: WB
authors.lastname: Darden
authors.forename: J René
authors.initials: JR
authors.lastname: Herlong
authors.forename: Piers C
authors.initials: PC
authors.lastname: Barker
authors.forename: James
authors.initials: J
authors.lastname: Jaggers
mesh_terms: 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*