S-ICD Implantation in Secondary Prevention in a Young Patient With Recent Surgically Repaired Pectus Excavatum

Luca Checchi; Laura Perrotta; Giuseppe Ricciardi; Andrea Colella; Gabriele Bambagioni; Davide Ciliberti; Valentina Bogini; Alessandro Gonfiotti; Iacopo Olivotto; Paolo Pieragnoli

doi:10.1016/j.jaccas.2024.102231

S-ICD Implantation in Secondary Prevention in a Young Patient With Recent Surgically Repaired Pectus Excavatum

JACC Case Rep. 2024 Feb 5;29(5):102231. doi: 10.1016/j.jaccas.2024.102231. eCollection 2024 Mar 6.

Affiliations

¹ Arrhythmia Unit, Careggi University Hospital, Florence, Italy.
² Cardiology Department, Careggi University Hospital, Florence, Italy.
³ Thoracic Surgery, Careggi University Hospital, Florence, Italy.
⁴ University of Florence, Florence, Italy.

Abstract

We report a case of successful implantation of a subcutaneous implantable cardioverter-defibrillator in a young patient with severe pectus excavatum presenting with out-of-hospital ventricular fibrillation arrest who was recently surgically repaired with a MIRPE-Nuss procedure. No complications in lead positioning were observed, and the device was tested to determine that it functioned properly.

Keywords: Nuss procedure; S-ICD; electrophysiology; pectus excavatum; right ventricle; secondary prevention; sudden cardiac arrest; ventricular fibrillation.

Publication types

Case Reports