Abstract
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.
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Pokall, S., Hörer, J. & Schreiber, C. Combined Epicardial and Transvenous Placement of an Implantable Cardioverter Defibrillator (ICD) Lead Without a Median Sternotomy in an 8-Year-Old Child. Pediatr Cardiol 34, 1996–1997 (2013). https://doi.org/10.1007/s00246-012-0544-9
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DOI: https://doi.org/10.1007/s00246-012-0544-9