Luedemann Monika, Hund Karin, Stertmann Wilhelm, Michel-Behnke Ina, Gonzales Maria, Akintuerk Hakan, Schranz Dietmar
Pediatric Heart Center, Justus-Liebig-University, Giessen, Germany.
Pacing Clin Electrophysiol. 2004 Jan;27(1):117-9. doi: 10.1111/j.1540-8159.2004.00398.x.
This report describes the case of an 8-year-old boy with hypertrophic cardiomyopathy (HCM) who underwent ICD implantation for recurrent syncope. To avoid vascular complications and to minimize the surgical approach in this small child, a nonthoracotomy ICD system was chosen using a single subcutaneous array lead with only one finger, an abdominally placed active can, and epicardial dual chamber pacing and sensing electrodes. During an 8-month follow-up, DFT was confirmed and there were no ventricular tachycardia or complications. It appears to be a safe device for the prevention of sudden cardiac death in infants and small children.
本报告描述了一名8岁肥厚型心肌病（HCM）男孩因反复晕厥接受植入式心律转复除颤器（ICD）植入的病例。为避免血管并发症并尽量减少对这个小孩的手术操作，选择了一种非开胸ICD系统，使用单根皮下阵列电极导线，仅用一根手指操作，将有源除颤电极置于腹部，同时使用心外膜双腔起搏和感知电极。在8个月的随访期间，测定了除颤阈值（DFT），未发生室性心动过速或并发症。该装置似乎是预防婴幼儿心脏性猝死的一种安全设备。
