title: Implantable cardioverter-defibrillator insertion in congenital heart disease without transvenous access to the heart.
abstract: Sudden cardiac death is the leading cause of mortality in adults with complex congenital heart disease. Challenges to implanting cardioverter-defibrillators (ICDs) may arise as a result of vascular or intracardiac access issues. For example, conduits may divert systemic venous return to extracardiac structures such as pulmonary arteries or tunnels. Creative approaches to ICD implantation have previously involved subcutaneous arrays, often associated with thoracotomy to implant intrathoracic coils. We describe a patient with complex congenital heart disease and no transvenous access via the superior vena cava in whom ICD implantation involved placement of a coil within the azygos vein.
authors: University of Ottawa Heart Institute, Ottawa, Ontario, Canada. pnery@ottawaheart.ca
authors: Pablo B
authors: PB
authors: Nery
authors: Martin S
authors: MS
authors: Green
authors: Paul
authors: P
authors: Khairy
authors: Yahya
authors: Y
authors: Alhebaishi
authors: Paul
authors: P
authors: Hendry
authors: David H
authors: DH
authors: Birnie
mesh_terms: D000328:Adult; D017147:Defibrillators, Implantable; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods*; D013908:Thoracotomy / Q000379:methods*; D014683:Vena Cava, Superior / Q000002:abnormalities*