We present the first worldwide case of a hybrid surgical-percutaneous procedure involving transvenous lead extraction, concomitant tricuspid valve repair, implantation of an atrioventricular (AV) leadless pacemaker, and extravascular implantable cardioverter-defibrillator placement with suturing of the defibrillation lead to the heart wall. Multiple interventions were necessary as a result of active endocarditis, congenital complete AV block, and ventricular arrhythmia secondary prevention.
First-in-Man Surgical Extravascular-ICD Implantation: Suturing the Defibrillation Lead to the Heart Wall Post Device-Related Endocarditis / M. Moltrasio, M. Biroli, M. Schiavone, M. Naliato, M. Zanobini, F. Tundo, C. Tondo, A. Curnis. - In: JACC. CASE REPORTS. - ISSN 2666-0849. - 29:15(2024), pp. 102424.1-102424.6. [10.1016/j.jaccas.2024.102424]
First-in-Man Surgical Extravascular-ICD Implantation: Suturing the Defibrillation Lead to the Heart Wall Post Device-Related Endocarditis
M. Biroli;M. Schiavone
;F. Tundo;C. Tondo;
2024
Abstract
We present the first worldwide case of a hybrid surgical-percutaneous procedure involving transvenous lead extraction, concomitant tricuspid valve repair, implantation of an atrioventricular (AV) leadless pacemaker, and extravascular implantable cardioverter-defibrillator placement with suturing of the defibrillation lead to the heart wall. Multiple interventions were necessary as a result of active endocarditis, congenital complete AV block, and ventricular arrhythmia secondary prevention.
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