Percutaneous transthoracic computed tomography-guided AICD insertion in a patient with extracardiac Fontan conduit.
Percutaneous pulmonary venous atrial puncture was performed under computed tomography guidance to successfully place an automated implantable cardiac defibrillator into a 26-year-old patient with extracardiac Fontan conduit who had presented with two out-of-hospital cardiac arrests. The procedure avoided the need for lead placement at thoracotomy.
Department of Radiology, Mater Misericordiae University Hospital, Dublin 7, Ireland. darramurphy@me.com
Darra T
DT
Murphy
Michael R
MR
Moynagh
Kevin P
KP
Walsh
Lars
L
Nölke
John G
JG
Murray
D000328:Adult; D017147:Defibrillators, Implantable; D017809:Fatal Outcome; D018729:Fontan Procedure; D006323:Heart Arrest / Q000517:prevention & control; D006325:Heart Atria; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy*; D011667:Pulmonary Veins; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*