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Combined Epicardial and Transvenous Placement of an Implantable Cardioverter Defibrillator (ICD) Lead Without a Median Sternotomy in an 8-Year-Old Child

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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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References

  1. Brady PA, Friedman PA, Trusty JM, Grice S, Hammill SC, Stanton MS (1998) High failure rate for an epicardial implantable cardioverter-defibrillator lead: implications for long-term follow-up of patients with an implantable cardioverter-defibrillator. J Am Coll Cardiol 31:616–622

    Article  CAS  PubMed  Google Scholar 

  2. Bryant R III, Aboutalebi A, Kim JJ, Kertesz N, Morales DL (2011) Epicardial implantable cardioverter-defibrillator system placed in a 4.9-kg infant. Tex Heart Inst J 38:421–423

    PubMed Central  PubMed  Google Scholar 

  3. Buxton AE, Lee KL, Fisher JD, Josephson ME, Prystowsky EN, Hafley G (1999) A randomized study of the prevention of sudden death in patients with coronary artery disease. Multicenter Unsustained Tachycardia Trial Investigators. N Engl J Med 341:1882–1890

    Article  CAS  PubMed  Google Scholar 

  4. Chaney MA (2006) Intrathecal and epidural anesthesia and analgesia for cardiac surgery. Anesth Analg 102:45–64

    Article  CAS  PubMed  Google Scholar 

  5. Eicken A, Kolb C, Lange S et al (2006) Implantable cardioverter defibrillator (ICD) in children. Int J Cardiol 107:30–35

    Article  PubMed  Google Scholar 

  6. Heaven DJ, Henein MY, Sutton R (2000) Pacemaker lead related tricuspid stenosis: a report of two cases. Heart 83:351–352

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Krishnan A, Moulick A, Sinha P et al (2009) Severe tricuspid valve stenosis secondary to pacemaker leads presenting as ascites and liver dysfunction: a complex problem requiring a multidisciplinary therapeutic approach. J Interv Card Electrophysiol 24:71–75

    Article  PubMed  Google Scholar 

  8. Maron BJ, Spirito P, Shen WK et al (2007) Implantable cardioverter-defibrillators and prevention of sudden cardiac death in hypertrophic cardiomyopathy. JAMA 298:405–412

    CAS  PubMed  Google Scholar 

  9. Mishaly D, Ghosh P, Preisman S (2008) Minimally invasive congenital cardiac surgery through right anterior minithoracotomy approach. Ann Thorac Surg 85:831–835

    Article  PubMed  Google Scholar 

  10. Palma G, Giordano R, Russolillo V et al (2009) Anterolateral minithoracotomies for the radical correction of congenital heart diseases. Tex Heart Inst J 36:575–579

    PubMed Central  PubMed  Google Scholar 

  11. Schreiber C, Kostolny M, Eicken A, Lange R (2006) Nonthoracotomy cardioverter defibrillator implantation in a 2-year-old infant with long QT syndrome. Ann Thorac Surg 81:e27–e28

    Article  PubMed  Google Scholar 

  12. Spirito P, Bellone P, Harris KM, Bernabo P, Bruzzi P, Maron BJ (2000) Magnitude of left ventricular hypertrophy and risk of sudden death in hypertrophic cardiomyopathy. N Engl J Med 342:1778–1785

    Article  CAS  PubMed  Google Scholar 

  13. Taira K, Suzuki A, Fujino A, Watanabe T, Ogyu A, Ashikawa K (2006) Tricuspid valve stenosis related to subvalvular adhesion of pacemaker lead: a case report. J Cardiol 47:301–306

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Deutsches Herzzentrum München an der Technischen Universität München, Lazarettstrasse 36, 80636, München, Germany

    Stefan Pokall, Jürgen Hörer & Christian Schreiber

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  1. Stefan Pokall
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  2. Jürgen Hörer
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  3. Christian Schreiber
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Correspondence to Stefan Pokall.

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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

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