Kanter Ronald J, Darden William B, Herlong J René, Barker Piers C, Jaggers James
Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina 27710, USA.
Pacing Clin Electrophysiol. 2007 Nov;30(11):1401-3. doi: 10.1111/j.1540-8159.2007.00879.x.
A 16-year-old boy with Ebstein's anomaly of the tricuspid valve developed exercise-induced rapid ventricular tachycardia. He had previously undergone tricuspid valvuloplasty and bidirectional cavopulmonary anastamosis due to progressive symptoms. A single-chamber implantable cardioverter-defibrillator was implanted, utilizing a novel transvenous approach to the right ventricle. Technical considerations, risks, and benefits of this approach are discussed.