CardioVascular and Interventional Radiology

, Volume 34, Supplement 2, pp 224–227 | Cite as

Percutaneous Transthoracic Computed Tomography-Guided AICD Insertion in a Patient with Extracardiac Fontan Conduit

  • Darra T. MurphyEmail author
  • Michael R. Moynagh
  • Kevin P. Walsh
  • Lars Nölke
  • John G. Murray
Case Report


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.


Congenital 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.


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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010

Authors and Affiliations

  • Darra T. Murphy
    • 1
    Email author
  • Michael R. Moynagh
    • 1
  • Kevin P. Walsh
    • 2
  • Lars Nölke
    • 3
  • John G. Murray
    • 1
  1. 1.Department of RadiologyMater Misericordiae University HospitalDublin 7Ireland
  2. 2.Department of CardiologyMater Misericordiae University HospitalDublin 7Ireland
  3. 3.National Centre for Cardiothoracic SurgeryMater Misericordiae University HospitalDublin 7Ireland

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