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Epicardial cardioverter defibrillator implantation due to post-fontan ventricular tachycardia


1 Department of Cardiothoracic Surgery, General Hospital of Athens “Evangelismos”, Athens, Greece
2 Department of Interventional Cardiology, Red Cross Hospital, Athens, Greece
3 Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden

Correspondence Address:
Nikolaos A Papakonstantinou
12 Zilon Street, Rizoupoli, 11142 Athens
Greece
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_234_18

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Year : 2020  |  Volume : 23  |  Issue : 2  |  Page : 235-236

 

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Long-term survival of patients submitted to a Fontan procedure is reduced because of arrhythmias. Late post-Fontan ventricular tachycardia is extremely rare, but it can be fatal. Consequently, the implantation of an implantable cardioverter defibrillator may be required. The implantation of such a device after a Fontan operation can be rather difficult due to anatomic reasons that exclude transvenous approach. Epicardial ICD implantation is a treatment option for these patients. Transatrial approach, shock ICD coils placement in azygos vein or directly in the pericardium are possible alternatives. We hereby present a successful epicardial implantable cardioverter defibrillator implantation in a post-Fontan 39-year-old man suffering from ventricular tachycardia.






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1 Department of Cardiothoracic Surgery, General Hospital of Athens “Evangelismos”, Athens, Greece
2 Department of Interventional Cardiology, Red Cross Hospital, Athens, Greece
3 Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden

Correspondence Address:
Nikolaos A Papakonstantinou
12 Zilon Street, Rizoupoli, 11142 Athens
Greece
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_234_18

Rights and Permissions

Long-term survival of patients submitted to a Fontan procedure is reduced because of arrhythmias. Late post-Fontan ventricular tachycardia is extremely rare, but it can be fatal. Consequently, the implantation of an implantable cardioverter defibrillator may be required. The implantation of such a device after a Fontan operation can be rather difficult due to anatomic reasons that exclude transvenous approach. Epicardial ICD implantation is a treatment option for these patients. Transatrial approach, shock ICD coils placement in azygos vein or directly in the pericardium are possible alternatives. We hereby present a successful epicardial implantable cardioverter defibrillator implantation in a post-Fontan 39-year-old man suffering from ventricular tachycardia.






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