Mc. Ruiz et al., COMPLEX INSERTION OF AN AUTOMATIC IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR THROUGH A LEFT SUPERIOR VENA-CAVA, Revista espanola de cardiologia, 51(11), 1998, pp. 908-911
We describe the case of a 19-year-old girl with a left superior vena c
ava and a surgically corrected complete atrioventricular canal defect.
After an in-hospital sudden death an automatic defibrillator-cardiove
rter was implanted through her left superior venit cava. During the po
stoperative course, multiple inappropiate discharges caused by myopote
ntial oversensing indicated the relocation of the electrode and, final
ly, insertion of two epicardial leads by a left submammarian thoracoto
my approach, produced an optimal result.