Intrapericardial and retrocardial implantation of implantable cardioverter-defibrillator lead in a child with type 3 long QT syndrome.

Abstract:

:A 6-year-old girl with type 3 long QT syndrome was safely and successfully implanted with an implantable cardioverter-defibrillator (ICD) system. Prior to implantation, she had experienced uncontrollable life-threatening arrhythmia in spite of high-dose administration of mexiletine. An ICD coil lead for transvenous use was placed in the intrapericardial and retrocardial space and was connected to a generator placed in front of the posterior sheath of the right abdominal rectal muscle. Administration of a beta-blocker in addition to atrial pacing almost completely eliminated the patient's life-threatening arrhythmia attacks. Intrapericardial and retrocardial implantation of ICD coil leads might be useful for children.

journal_name

Pediatr Cardiol

journal_title

Pediatric cardiology

authors

Ichikawa Y,Iwamoto M,Yanagi S,Masuda M

doi

10.1007/s00246-011-0065-y

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

1048-52

issue

7

eissn

0172-0643

issn

1432-1971

journal_volume

32

pub_type

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