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Case Reports
Direct intracardiac placement of an automatic implantable cardioverter defibrillator coil lead in a small child.
- Michal J Kantoch, Ivan M Rebeyka, Lois A Houlden, and John D Dyck.
- 4C3 WMC Health Sciences Centre, Division of Pediatric Cardiology, Department of Pediatrics and Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada T6G 2B7. michalkantoch@cha.ab.ca
- Europace. 2007 Aug 1;9(8):669-71.
AbstractA 3.5-year-old child with hypertrophic obstructive cardiomyopathy and recurrent syncope underwent surgical left-ventricular outflow tract myectomy and implantation of a single-chamber automatic cardioverter defibrillator. A single-coil active fixation lead was introduced via a purse-string suture in the right atrial appendage and the lead tip positioned and fixed in the right-ventricular apex under direct visualization via a small right atriotomy incision. Described configuration may be considered in small children undergoing intracardiac surgery at the time of defibrillator implantation.
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