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Ann Thorac Surg 2008;86:1701-1703. doi:10.1016/j.athoracsur.2008.04.076
© 2008 The Society of Thoracic Surgeons
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Hiroshi Watanabe
Shinpei Yoshii
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How To Do It

Alternative Technique for Implanting an Implantable Cardioverter Defibrillator in Infants

Shoji Suzuki, MD, PhDa,*, Hiroshi Watanabe, MD, PhDb, Shinpei Yoshii, MD, PhDc, Shigeaki Kaga, MD, PhDa, Yoshihiro Honda, MDa, Natsuya Ishikawa, MDa, Masahiko Matsumoto, MD, PhDa

a Department of Surgery, University of Yamanashi, Yamanashi, Japan
b Department of Surgery, Postgraduate School of Niigata University, Niigata, Japan
c Department of Cardiovascular Surgery, Tachikawa Medical Center, Niigata, Japan

Accepted for publication April 23, 2008.

* Address correspondence to Dr Suzuki, Department of Surgery, University of Yamanashi, Shimokato, Chuo-city, Yamanashi, 409-3898, Japan (Email: ssuzuki{at}yamanashi.ac.jp).

We applied a new implanting technique for an implantable cardioverter defibrillator (ICD) in a 4-month-old girl with repeated ventricular fibrillation (Vf) due to long QT syndrome. This technique consisted of placement of an oval patch lead on the outer surface of the pericardium in the left pleural cavity. This was useful in preventing the complications of the conventional epicardial patch leads (ie, crinkling of the lead and constrictive pericarditis). This patch should be contemplated as an alternative option for implanting ICD in infants.






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