Dasgupta Soham, Thomas Kevin, Johnsrude Christopher
Division of Pediatric Cardiology, Department of Pediatrics, Norton Children's Hospital, University of Louisville, USA.
Division of Cardiology, Department of Internal Medicine, Norton Hospital, USA.
Indian Pacing Electrophysiol J. 2024 Mar-Apr;24(2):111-113. doi: 10.1016/j.ipej.2023.12.008. Epub 2023 Dec 31.
The approach/type of an implantable cardioverter defibrillator (ICD) is determined by the underlying cardiac anatomy, venous access, and pre-existing cardiac implantable electronic devices. We describe a case of subcutaneous ICD implantation in an adult with congenital heart disease (CHD) with a pre-existing inframammary transvenous pacemaker. This was preferred over adding a defibrillator coil to existing pacing leads, extraction/replacement of pacing system, or a sternotomy/epicardial ICD placement. The procedure was accomplished uneventfully with successful defibrillation threshold testing. Innovative approaches are required to manage arrhythmias in adults with CHD, with shared decision making playing a critical role.
植入式心脏复律除颤器（ICD）的植入途径/类型由潜在的心脏解剖结构、静脉通路以及先前已有的心脏植入式电子设备决定。我们描述了一例患有先天性心脏病（CHD）且先前已有乳房下经静脉起搏器的成人患者皮下植入ICD的病例。相较于在现有起搏导线上添加除颤线圈、拔除/更换起搏系统或进行胸骨切开术/心外膜ICD植入，这种方法更为可取。该手术顺利完成，除颤阈值测试成功。对于患有CHD的成人患者，需要创新方法来管理心律失常，共同决策起着关键作用。
