title: New Technique for Surgical Epicardial Implantation of a Cardioverter-Defibrillator in Children and Adults With Congenital Heart Disease.
abstract: BACKGROUND
  We assessed a surgical technique for implanting a cardioverter-defibrillator. The indications for cardioverter-defibrillator implantation in pediatric patients and adults with congenital heart disease are relatively specific and require multidisciplinary discussion regarding implantation modalities. We coupled the positioning of two coils sutured to the pericardium with an implantable cardioverter-defibrillator device inserted within a supradiaphragmatic pocket in a population of children and adults with congenital heart disease.
  
  
  METHODS
  Thirteen consecutive patients, either children or adults with congenital heart disease, underwent the implantation of a single-chamber implantable cardioverter-defibrillator in our center. All patients were systematically followed at 3, 6, and 12 months after implantation.
  
  
  RESULTS
  Patients were mainly male (n = 9, 69%), and mean age was 21 ± 12 years. Median follow-up was 13 months. All patients underwent surgery without acute complication. One patient needed a second surgery because of defibrillation coils fracture. Neither infectious complication nor inappropriate shock was noted. There were two appropriate shocks in 1 patient.
  
  
  CONCLUSIONS
  This new technique for surgical epicardial implantation of a cardioverter-defibrillator in children and adults with congenital heart disease is safe and feasible. These results should be confirmed by prospective studies with long-term follow-up.
authors.affiliation: Department of Cardiology, Coronary Unit, Exercise Test and Rehabilitation, Bordeaux Heart University Hospital, University of Bordeaux, LIRYC, Pessac, France. Electronic address: thomas.pospiech@chu-bordeaux.fr.
authors.forename: Thomas
authors.initials: T
authors.lastname: Pospiech
authors.affiliation: Department of Pediatrics and Adult Congenital Heart Diseases, Bordeaux Heart University Hospital, University of Bordeaux, LIRYC, Pessac, France.
authors.forename: François
authors.initials: F
authors.lastname: Roubertie
authors.affiliation: Department of Pediatrics and Adult Congenital Heart Diseases, Bordeaux Heart University Hospital, University of Bordeaux, LIRYC, Pessac, France.
authors.forename: Zakaria
authors.initials: Z
authors.lastname: Jalal
authors.affiliation: Department of Cardiology, Electrophysiology and Stimulation Unit, Bordeaux Heart University Hospital, University of Bordeaux, LIRYC, Pessac, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Bordachar
authors.affiliation: Department of Pediatrics and Adult Congenital Heart Diseases, Bordeaux Heart University Hospital, University of Bordeaux, LIRYC, Pessac, France.
authors.forename: Jean-Benoît
authors.initials: JB
authors.lastname: Thambo
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000150:complications* / Q000175:diagnosis; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium; D011446:Prospective Studies; D013902:Radiography, Thoracic; D013997:Time Factors; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D055815:Young Adult