Combined Epicardial and Transvenous Placement of an Implantable Cardioverter Defibrillator (ICD) Lead Without a Median Sternotomy in an 8-Year-Old Child

Pokall, Stefan; Hörer, Jürgen; Schreiber, Christian
December 2013
Pediatric Cardiology;Dec2013, Vol. 34 Issue 8, p1996
Academic Journal
Case Study
An alternative to median sternotomy for epicardial placement of an implantable cardioverter defibrillator (ICD) lead in a child with hypertrophic cardiomyopathy is described. Implantation of an ICD lead via the tricuspid valve was avoided by the use of an epicardial pacing lead and a transvenous defibrillator lead placed in the vena brachiocephalica. The abdominal, subcostal pocket incision was used for an anterolateral minithoracotomy to implant the epicardial pacing lead.


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