Extracardiac minimal invasive implantation of cardioverter defibrillator in young children.
Implantable cardioverter defibrillator (ICD) placement in young children remains a challenge due to device-patient size mismatch and the important choice between an endovenous or an epicardial approach for lead implantation. We treated three children, with respectively Long QT-syndrome, Brugada syndrome and Brugada syndrome with sick sinus syndrome, ranging from 9 months to 7 years with a subxyphoidal ICD and extracardiac lead implantation by minimally invasive techniques. In all cases the thresholds were excellent. The devices could be properly placed in the preperitoneal space without discomfort to the patients. The clinical course was uneventful and results were excellent.
Centre for Cardiovascular Diseases, UZ Brussel, Belgium. Jens.email@example.com
SourceActa chirurgica Belgica 112:3 pg 185-8
Long QT Syndrome
Sick Sinus Syndrome
Surgical Procedures, Minimally Invasive
Pub Type(s)Case Reports