Minimally invasive, pericardial implantable cardioverter‐defibrillator placement in a young child

A 6-year-old girl (16 kg) with left ventricular non-compaction who had a ventricular fibrillation arrest and was successfully resuscitated.

Minimally invasive placement of a pericardial implantable cardioverter-defibrillator (ICD) using a subxiphoid approach (transvenous ICD dual-coil lead screwed into the oblique sinus pericardium, sense-pace lead sutured to the right ventricular apex, and generator placed in the upper abdominal wall).

Successful defibrillation threshold testing and appropriate shock delivery during follow-up.