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Europace Advance Access originally published online on April 27, 2007
Europace 2007 9(8):669-671; doi:10.1093/europace/eum036
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

PACING AND LEAD EXTRACTION

Direct intracardiac placement of an automatic implantable cardioverter defibrillator coil lead in a small child

Michal J. Kantoch1,*, Ivan M. Rebeyka2, Lois A. Houlden3 and John D. Dyck1

1 4C3 WMC Health Sciences Centre, Division of Pediatric Cardiology, Department of Pediatrics and Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada T6G 2B7; 2 Department of Surgery, University of Alberta, Edmonton, Alberta, Canada; 3 Department of Medicine, University of Alberta, Edmonton, Alberta, Canada

A 3.5-year-old child with hypertrophic obstructive cardiomyopathy and recurrent syncope underwent surgical left-ventricular outflow tract myectomy and implantation of a single-chamber automatic cardioverter defibrillator. A single-coil active fixation lead was introduced via a purse-string suture in the right atrial appendage and the lead tip positioned and fixed in the right-ventricular apex under direct visualization via a small right atriotomy incision. Described configuration may be considered in small children undergoing intracardiac surgery at the time of defibrillator implantation.

Key Words: Child, Automatic implantable cardioverter defibrillator, Hypertrophic cardiomyopathy

* Corresponding author. Tel: +1 780-407-3963; fax: +1 780-407-3954. E-mail address: michalkantoch{at}cha.ab.ca

Manuscript submitted 3 January 2007. Accepted after revision 13 February 2007.


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