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.
KeywordsCongenital heart disease Fontan procedure Automated implantable cardiac defibrillator CT-guided access
The authors thank Ana Maria Gaca et al. for the use of the graphic in Fig. 4, which is reproduced with permission from both the author and the Radiologic Society of North America: Gaca AM, Jaggers JJ, Dudley LT, Bissett GS 3rd (2008) Repair of congenital heart disease: A primer—Part 1. Radiology 247(3):617–631.
Conflict of interest
The authors declare that they have no conflict of interest.