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Thorac Cardiovasc Surg 2020; 68(01): 068-071
DOI: 10.1055/s-0039-1697914
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Georg Thieme Verlag KG Stuttgart · New York

Intermuscular S-ICD Implantation in Pediatric Patients

Andrea Ferreiro-Marzal‡   *
1   Department of Cardiovascular Surgery, Virgen de las Nieves University Hospital, Granada, Spain
,
Fernando Rodríguez-Serrano‡   *
2   Institute of Biopathology and Regenerative Medicine (IBIMER), University of Granada, Granada, Spain
3   Biosanitary Research Institute of Granada (ibs.GRANADA), Granada, Spain
,
María Esteban-Molina
1   Department of Cardiovascular Surgery, Virgen de las Nieves University Hospital, Granada, Spain
,
Teresa González-Vargas
1   Department of Cardiovascular Surgery, Virgen de las Nieves University Hospital, Granada, Spain
,
Francesca Perin
4   Pediatric Cardiology Unit, Virgen de las Nieves University Hospital, Granada, Spain
,
Jose Manuel Garrido 
1   Department of Cardiovascular Surgery, Virgen de las Nieves University Hospital, Granada, Spain
2   Institute of Biopathology and Regenerative Medicine (IBIMER), University of Granada, Granada, Spain
3   Biosanitary Research Institute of Granada (ibs.GRANADA), Granada, Spain
5   Department of Surgery and its Specialities, Universidad de Granada, Granada, Spain
› Author Affiliations
Further Information

Publication History

20 February 2019

07 August 2019

Publication Date:
20 October 2019 (online)

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Abstract

The use of conventional implantable cardioverter-defibrillators (ICDs) in children presents important technical challenges. We present the surgical technique necessary to adapt the subcutaneous ICD (S-ICD) implantation designed for adults, to children, including patients weighing less than 20 kg. The implant procedure implies a two-incision technique and interfascial serratus anterior–latissimus dorsi dissection to accommodate the device. S-ICD implantation was successfully performed in three patients of 19, 28, and 24 kg, respectively, two of them suffered cardiorespiratory arrest. Intermuscular thoracic implantation of S-ICD might represent an effective strategy for primary or secondary prevention of sudden cardiac death in pediatric patients.

Keyword

pediatric - chest wall - cardiac

* Both authors contributed equally to this work.


 

  • References

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