Abstract

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.

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Authors

Czapla J, La Meir M, Verbessem D, Brugada P, Wellens F

Institution

Centre for Cardiovascular Diseases, UZ Brussel, Belgium. Jens.czapla@uzbrussel.be

Source

Acta chirurgica Belgica 112:3 pg 185-8

MeSH

Brugada Syndrome
Child
Defibrillators, Implantable
Female
Humans
Infant
Long QT Syndrome
Male
Prosthesis Implantation
Sick Sinus Syndrome
Surgical Procedures, Minimally Invasive

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22808757