Epicardial cardioverter defibrillator implantation due to post-fontan ventricular tachycardia.

Epicardial cardioverter defibrillator implantation due to post-fontan ventricular tachycardia.
Ann Card Anaesth. 2020 Apr-Jun;23(2):235-236
Authors: Papakonstantinou NA, Patris V, Samiotis I, Koutouzis M, Koutouzi G, Argiriou M
Abstract
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.
PMID: 32275046 [PubMed - in process]

Source: Annals of Cardiac Anaesthesia - March 31, 2020 Category: Anesthesiology Authors: Papakonstantinou NA, Patris V, Samiotis I, Koutouzis M, Koutouzi G, Argiriou M Tags: Ann Card Anaesth Source Type: research