Korean J Thorac Cardiovasc Surg.  2011 Feb;44(1):61-63.

Intrapericardial Implantation of an Implantable Cardioverter-Defibrillator in a Child

• Seong YW
• Kim WH
• Yoo JS
• Kim HS
• Min BJ
• Lee YO

Abstract

Implantable cardioverter defibrillator (ICD) can be a crucial therapeutic modality for pediatric patients with congenital heart disease, Brugada syndrome, long QT syndrome and cardiomyopathy. Because transvenous implantation of ICD is mostly unfeasible for pediatric patients due to anatomical and technical limitations, epicardial patch type or subcutaneous type ICD have been used. Implantation of these alternative ICDs, however, was reported to be frequently associated with significant complications. We report a case of successful intrapericardial implantation of a single coil-type ICD through the transverse sinus in a 27 month-old child weighing lesser than 10 kg, and it was inferred from this experience that this alternative technique may decrease complications and morbidities after ICD implantation in children.

Keyword

Congenital heart disease; Arrhythmia; Defibrillation; Pacemaker

MeSH Terms

Arrhythmias, Cardiac
Brugada Syndrome
Cardiomyopathies
Child
Defibrillators
Defibrillators, Implantable
Heart Diseases
Humans
Long QT Syndrome