Intrapericardial and Retrocardial Implantation of Implantable Cardioverter-Defibrillator Lead in a Child with Type 3 Long QT Syndrome
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Yasuhiro Ichikawa • Mari Iwamoto • Sadamitsu Yanagi • Munetaka Masuda
- چاپ و سال / کشور: 2011
Description
A 6-year-old girl with type 3 long QT syndrome was safely and successfully implanted with an implantable cardioverter-defibrillator (ICD) system. Prior to implantation, she had experienced uncontrollable lifethreatening arrhythmia in spite of high-dose administration of mexiletine. An ICD coil lead for transvenous use was placed in the intrapericardial and retrocardial space and was connected to a generator placed in front of the posterior sheath of the right abdominal rectal muscle. Administration of a beta-blocker in addition to atrial pacing almost completely eliminated the patient’s life-threatening arrhythmia attacks. Intrapericardial and retrocardial implantation of ICD coil leads might be useful for children.
Pediatr Cardiol DOI 10.1007/s00246-011-0065-y Received: 13 May 2011 / Accepted: 9 July 2011