Resumo

AVERSA, Eliana et al. Placement of an Implantable Cardioverter Defibrillator Thorough a Transatrial Approach: a Case Report. Rev. argent. cardiol. [online]. 2010, vol.78, n.6, pp.518-520. ISSN 1850-3748.

Thrombosis of the superior vena cava is an infrequent condition; yet, its presence prohibits placement of pacemakers and defibrillator devices. The epicardial approach is indicated when the venous access for lead placement is compromised. However, implantable cardioverter device placement using minithoracotomy has been described with favorable long-term outcomes, achieving an adequate defibrillation threshold. We describe the case of a patient with a history of Chagas cardiomyopathy and dual-chamber pacemaker placement due to coexisting sinus node and atrioventricular node dysfunction. We decided to use the transatrial approach via minithoracotomy leaving the atrial lead for sensing electrical activity and delivering stimulation pulses.

Palavras-chave : Defibrillator; Chagas; Transatrial.

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