Seong Yong Won, Kim Woong-Han, Yoo Jae Suk, Kim Hye-Seon, Min Byoung-Ju, Lee Young-Ok
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea.
Korean J Thorac Cardiovasc Surg. 2011 Feb;44(1):61-3. doi: 10.5090/kjtcs.2011.44.1.61. Epub 2011 Feb 12.
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.
植入式心脏复律除颤器（ICD）对于患有先天性心脏病、布加综合征、长QT综合征和心肌病的儿科患者可能是一种关键的治疗方式。由于解剖结构和技术限制，经静脉植入ICD对儿科患者大多不可行，因此已采用心外膜贴片式或皮下式ICD。然而，据报道，植入这些替代型ICD常常伴有严重并发症。我们报告了一例在一名体重不足10公斤的27个月大儿童中通过横窦成功进行单线圈型ICD心包内植入的病例，并且从该经验推断，这种替代技术可能会减少儿童ICD植入后的并发症和发病率。
