An ICD system using epicardial leads and a subcutaneous coil with an intraabdominal can was successfully implanted in a 4-month-old, 7-kg infant with refractory ventricular fibrillation.
Case Report (n=1)
No
This case report demonstrates the feasibility of a novel ICD array system using epicardial sense-pacing leads and a subcutaneous defibrillator coil in a very young infant with refractory ventricular arrhythmias.
A previously healthy male infant was resuscitated after spontaneous ventricular fibrillation at 9 weeks of age. Echocardiography revealed three tumors in the left ventricle not amenable to complete resection. Despite treatment with antiarrhythmic agents the ventricular arrhythmias continued. When the child was 4 months old and weighed 7 kg an ICD system was implanted using epicardial sense-pacing leads and a superior vena caval lead as a subcutaneous defibrillator coil placed posterior on the left thorax. Shocks were delivered between the subcutaneous coil lead and the intraabdominally placed ICD can. This ICD array system has not been reported previously.
Thøgersen et al. (Thu,) conducted a case report in Cardiac arrest associated with a vascular heart tumor (n=1). Implantable Cardioverter Defibrillator (ICD) was evaluated. An ICD system using epicardial leads and a subcutaneous coil with an intraabdominal can was successfully implanted in a 4-month-old, 7-kg infant with refractory ventricular fibrillation.