Combined epicardial and transvenous placement of an implantable cardioverter defibrillator (ICD) lead without a median sternotomy in an 8-year-old child.
An alternative to median sternotomy for epicardial placement of an implantable cardioverter defibrillator (ICD) lead in a child with hypertrophic cardiomyopathy is described. Implantation of an ICD lead via the tricuspid valve was avoided by the use of an epicardial pacing lead and a transvenous defibrillator lead placed in the vena brachiocephalica. The abdominal, subcostal pocket incision was used for an anterolateral minithoracotomy to implant the epicardial pacing lead.
Department of Cardiovascular Surgery, Deutsches Herzzentrum München an der Technischen Universität München, Lazarettstrasse 36, 80636, München, Germany, stefan.pokall@gmail.com.
Stefan
S
Pokall
Jürgen
J
Hörer
Christian
C
Schreiber
D006328:Cardiac Catheterization / Q000379:methods*; D002312:Cardiomyopathy, Hypertrophic / Q000628:therapy*; D002648:Child; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D019919:Prosthesis Implantation / Q000379:methods*; D056346:Sternotomy; D014261:Tricuspid Valve