Journal of Chest Surgery

  • 제44권1호
  • /
  • Pages.61-63
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  • 2011
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Intrapericardial Implantation of an Implantable Cardioverter-Defibrillator in a Child

  • Seong, Yong-Won (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Woong-Han (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Yoo, Jae-Suk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Kim, Hye-Seon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Min, Byoung-Ju (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Lee, Young-Ok (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 투고 : 2010.07.24
  • 심사 : 2010.09.26
  • 발행 : 2011.02.05
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초록

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.

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참고문헌

  1. Link MS, Hill SL, Cliff DL, et al. Comparison of frequency of complications of implantable cardioverter-defibrillators in children versus adults. Am J Cardiol 1999;83:263-6. https://doi.org/10.1016/S0002-9149(98)00834-0
  2. Molina JE, Benditt DG, Adler S. Crinkling of epicardial defibrillator patches. A common and serious problem. J Thorac Cardiovasc Surg 1995;110:258-64. https://doi.org/10.1016/S0022-5223(05)80032-7
  3. Kriebel T, Ruschewski W, Gonzalez MG, et al. ICD implantation in infants and small children: the extracardiac technique. Pacing Clin Electrophysiol 2006;29:1319-25. https://doi.org/10.1111/j.1540-8159.2006.00542.x
  4. Hsia TY, Bradley SM, LaPage MJ, et al. Novel minimally invasive, intrapericardial implantable cardioverter defibrillator coil system: a useful approach to arrhythmia therapy in children. Ann Thorac Surg 2009;87:1234-8. https://doi.org/10.1016/j.athoracsur.2009.01.015