Pacing and Clinical Electrophysiology. 30(11):1401–1403, NOVEMBER 2007
PMID: 17976107
Issn Print: 0147-8389
Publication Date: November 2007
A Patient with Congenital Heart Disease and Ventricular Tachycardia: What is the Course of the Device Lead?
RONALD KANTER;WILLIAM DARDEN;J. RENÉ HERLONG;PIERS BARKER;JAMES JAGGERS;
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From the Departments of Pediatrics and *Surgery, Duke University School of Medicine, Durham, North Carolina
Abstract
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.