This case report describes a novel transvenous approach for ICD implantation in a pediatric patient with complex congenital heart disease and ventricular tachycardia.
May expand ICD options in complex congenital heart disease; leaves open safety and durability for prospective validation.
A 16-year-old boy with Ebstein's anomaly of the tricuspid valve developed exercise-induced rapid ventricular tachycardia. He had previously undergone tricuspid valvuloplasty and bidirectional cavopulmonary anastamosis due to progressive symptoms. A single-chamber implantable cardioverter-defibrillator was implanted, utilizing a novel transvenous approach to the right ventricle. Technical considerations, risks, and benefits of this approach are discussed.
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Kanter et al. (2007) studied this question.
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