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J Thorac Cardiovasc Surg 2007;133:1375-1376
© 2007 The American Association for Thoracic Surgery

Brief Communication

Minimally invasive implantation of a cardioverter-defibrillator in a small patient

^a Division of Pediatric Cardiology, the Ochsner Clinic Foundation, New Orleans, La
^b Division of Cardiovascular Surgery, the Ochsner Clinic Foundation, New Orleans, La.

Received for publication December 21, 2006; accepted for publication January 2, 2007.

^_* Address for reprints: Christopher Snyder, MD, Ochsner Clinic Foundation, Department of Pediatric Cardiology, 1514 Jefferson Highway, New Orleans, LA 70121. (Email: csnyder@ochsner.org).

The first 20% of the full text of this article appears below.

The patient is a 3-year-old girl weighing 13 kg, with a diagnosis of long QT syndrome, who experienced an episode of syncope and was found to be in ventricular fibrillation. She was cardioverted and transported to our institution. On arrival, she was taken to the operating room for implantation of an epicardial cardioverter-defibrillator. Because of her small size, this implantation was performed by using a previously unreported minimally invasive technique.

Clinical Summary

In the operating room general anesthesia was achieved. A midline incision was made over the xiphoid that extended 3 cm inferiorly. The linea alba was divided, and the retrosternal space was entered and developed. A 3-cm . . . [Full Text of this Article]

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