New approach to implantable cardioverter-defibrillators in small pediatric patients: Dorsal positioning of superior vena cava shock lead in a 3-year-old

A persistent left superior vena cava (PLSVC) is a congenital anomaly of the systemic venous system. This anomaly is often discovered as an incidental result during central venous catheterization passing through the left subclavian or the left internal jugular vein. We report two cases of PLSVC in pediatric patients.

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Parameters Influencing Distal Tip Loading of Pacemaker and Defibrillator Leads

Volume 1A: Abdominal Aortic Aneurysms; Active and Reactive Soft Matter; Atherosclerosis; BioFluid Mechanics; Education; Biotransport Phenomena; Bone, Joint and Spine Mechanics; Brain Injury; Cardiac Mechanics; Cardiovascular Devices, Fluids and Imaging; Cartilage and Disc Mechanics; Cell and Tissue Engineering; Cerebral Aneurysms; Computational Biofluid Dynamics; Device Design, Human Dynamics, and Rehabilitation; Drug Delivery and Disease Treatment; Engineered Cellular Environments ◽

10.1115/sbc2013-14115 ◽

2013 ◽

Cited By ~ 1

Author(s):

Donna Walsh ◽

Beth Stephen ◽

Nandini Duraiswamy ◽

Oleg Vesnovsky ◽

L. D. Timmie Topoleski

Keyword(s):

Pulse Generator ◽

Superior Vena ◽

Vena Cava ◽

The United States ◽

Implantable Cardioverter Defibrillators ◽

Cardiac Wall ◽

Active Fixation ◽

Passive Fixation ◽

Cardioverter Defibrillators ◽

Heart Implantation

More than 235,000 pacemakers and 130,000 implantable cardioverter defibrillators (ICD) were implanted in the United States in 2009 [1] for the treatment of various cardiac arrhythmias. Traditional pacemakers and ICDs deliver therapy to the patient through a transvenous lead that extends from a subcutaneously-implanted pulse generator, through the subclavian or cephalic vein, the superior vena cava (SVC), and into the heart. Attachment of the distal tip of the lead into the cardiac muscle is accomplished through either an active fixation mechanism where a metal helix is screwed into the cardiac wall at the time of implantation, or a passive fixation mechanism where silicone tines are ensnared by the fibrous trabeculae within the heart. Implantation of both active and passive leads is aided by the insertion of a stylet, or thin wire, into the lead to provide additional stiffness and steerability as the device is pushed through the vasculature and to the implant site.

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Cannulation of the Superior Vena Cava—A New Approach

Anesthesiology ◽

10.1097/00000542-197403000-00023 ◽

1974 ◽

Vol 40 (3) ◽

pp. 304-305 ◽

Cited By ~ 1

Author(s):

Kentaro Tsueda ◽

Jacques L. Jean-Francois ◽

Ernest C. Gonzales

Keyword(s):

Superior Vena Cava ◽

Superior Vena ◽

Vena Cava ◽

New Approach

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Transvenous Atrial Pacing from the Superior Vena Cava Stump after the Hemi-Fontan Operation-A New Approach

Pacing and Clinical Electrophysiology ◽

10.1111/pace.12305 ◽

2013 ◽

Vol 37 (5) ◽

pp. 531-536 ◽

Cited By ~ 4

Author(s):

ERIC ROSENTHAL ◽

LAURA KONTA

Keyword(s):

Superior Vena Cava ◽

Superior Vena ◽

Fontan Operation ◽

Vena Cava ◽

Atrial Pacing ◽

New Approach

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A Case Report of Reconstruction of the Left Superior Vena Cava Using the Right Superior Vena Cava Autograft at Bilateral Bidirectional Superior Cavopulmonary Anastomosis

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135117706951 ◽

2017 ◽

Vol 11 (4) ◽

pp. NP63-NP65

Author(s):

Shuichi Shiraishi ◽

Ai Sugimoto ◽

Jiyong Moon ◽

Masashi Takahashi ◽

Masanori Tsuchida

Keyword(s):

Superior Vena Cava ◽

Pediatric Patients ◽

Single Ventricle ◽

Superior Vena ◽

Vena Cava ◽

Graft Material ◽

Left Superior Vena Cava ◽

Single Ventricle Physiology ◽

Cavopulmonary Anastomosis ◽

The Right

The choice of graft material for reconstruction of the vena cava in pediatric patients remains controversial. We successfully treated an eight-month-old female patient with single ventricle physiology and long segment obstruction of the left superior vena cava using the right superior vena cava autograft at the time of bilateral bidirectional superior cavopulmonary anastomosis. Postoperative computed tomography confirmed the patency of the reconstruction.

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