Successful Subcutaneous Defibrillator Implantation in a Pregnant Patient With Long QT Syndrome

Rahul Myadam; Sanjaya K Gupta

doi:10.1016/j.jaccas.2020.12.038

Successful Subcutaneous Defibrillator Implantation in a Pregnant Patient With Long QT Syndrome

JACC Case Rep. 2021 Mar 3;3(3):504-507. doi: 10.1016/j.jaccas.2020.12.038. eCollection 2021 Mar.

Authors

Rahul Myadam¹, Sanjaya K Gupta^{1

2}

Affiliations

¹ University of Missouri-Kansas City School of Medicine, Kansas City, Missouri, USA.
² Saint Luke's Mid-America Heart Institute, Kansas City, Missouri, USA.

Abstract

A 26-year-old woman with recurrent unexplained syncope in the postpartum period was diagnosed with long QT syndrome type 2. Traditional implantation of defibrillator using fluoroscopy became contraindicated after she again became pregnant prior to device implantation. A subcutaneous defibrillator was successfully implanted in the second trimester, after a multidisciplinary evaluation. (Level of Difficulty: Intermediate.).

Keywords: DT, defibrillation threshold; ICD, implantable cardioverter-defibrillator; LQTS, long QT syndrome; S-ICD, subcutaneous implantable cardioverter-defibrillator; SCA, sudden cardiac arrest; TV-ICD, transvenous implantable cardioverter-defibrillator; pregnancy; ventricular tachycardia; x-ray fluoroscopy.

Publication types

Case Reports