Intrapericardial Implantation of an Implantable Cardioverter-Defibrillator in a Child
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¼º¿ë¿ø(Seong Yong-Won) - Seoul National University College of Medicine Department of Thoracic and Cardiovascular Surgery
À¯Àç¼®(Yoo Jae-Suk) - Seoul National University College of Medicine Department of Thoracic and Cardiovascular Surgery
±èÇý¼±(Kim Hye-Seon) - Seoul National University College of Medicine Department of Thoracic and Cardiovascular Surgery
¹Îº´ÁÖ(Min Byoung-Ju) - Seoul National University College of Medicine Department of Thoracic and Cardiovascular Surgery
ÀÌ¿µ¿Á(Lee Young-Ok) - Seoul National University College of Medicine Department of Thoracic and Cardiovascular Surgery
Abstract
Implantable cardioverter defibrillator (ICD) can be a crucial therapeutic modality for pediatric patients with congenital heart disease, Brugada syndrome, long QT syndrome and cardiomyopathy. Because transvenous implantation of ICD is mostly unfeasible for pediatric patients due to anatomical and technical limitations, epicardial patch type or subcutaneous type ICD have been used. Implantation of these alternative ICDs, however, was reported to be frequently associated with significant complications. We report a case of successful intrapericardial implantation of a single coil-type ICD through the transverse sinus in a 27 month-old child weighing lesser than 10 kg, and it was inferred from this experience that this alternative technique may decrease complications and morbidities after ICD implantation in children.
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Congenital heart disease, Arrhythmia, Defibrillation, Pacemaker
KMID :
0364020110440010061
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À¯È¿¼º°á°ú(Recomendation)
A case of successful intrapericardial implantation of a single coil-type ICD through the transverse sinus