Right-sided subcutaneous implantable cardioverter-defibrillator placement in a patient with dextrocardia, tetralogy of Fallot, and conduction disease

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Presentation transcript:

Right-sided subcutaneous implantable cardioverter-defibrillator placement in a patient with dextrocardia, tetralogy of Fallot, and conduction disease Scott R. Ceresnak, MD, Kara S. Motonaga, MD, Ian S. Rogers, MD, Mohan N. Viswanathan, MD HeartRhythm Case Reports Volume 1, Issue 4, Pages 186-189 (July 2015) DOI: 10.1016/j.hrcr.2015.02.001 Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 1 Representative screening electrograms through the programmer before device implantation. Although all screening electrograms on the left thorax failed screening, 1 lead configuration on the right side of the thorax passed the screening algorithm supine, standing, and with exercise. HeartRhythm Case Reports 2015 1, 186-189DOI: (10.1016/j.hrcr.2015.02.001) Copyright © 2015 Heart Rhythm Society Terms and Conditions

Figure 2 Chest radiograph after subcutaneous implantable cardioverter-defibrillator (S-ICD) placement. Posteroanterior (A) and lateral (B) chest x-ray films in the patient with dextrocardia and tetralogy of Fallot after S-ICD placement. Note the S-ICD generator in the right axilla and defibrillation coil immediately to the right of the sternum (red arrow). A transvenous atrial lead connected to the transvenous ICD system in the left delto-pectoral area was left in place to provide atrial antitachycardia pacing (ATP) because of the patient’s history of atrial flutter that was responsive to ATP. HeartRhythm Case Reports 2015 1, 186-189DOI: (10.1016/j.hrcr.2015.02.001) Copyright © 2015 Heart Rhythm Society Terms and Conditions