Case Reports Pectoral Implantation of Transvenous Defibrillator Lead Systems and Implantable Cardioverter Defibrillator

A 21-year-old man was admitted to our clinic due to cardiac arrest. Ventricular fibrillation was detected and resuscitation was successful. Clinical and laboratory examinations revealed arrhythmogenic right ventriular dysplasia. During the 2 years of follow-up period, attacks of fast ventricular tachycardia (VT) developed in spite of medical therapy with quinidine or metoprolol and amiodarone. During electrophysiological study, the clinically encountered fast VT originating from the right ventricle was induced, which responded neither to programmed stimulation, nor to antiarrhythmic drugs and degenerated to ventricular flutter. It was converted to sinus rhythm by cardioversion. We decided to implant a cardioverter-defibrillator (ICD). This was the first implantation of transvenous-pectoral cardioverter-defibrillator (Jewel PCD) in Turkey at 8.7.1994. The role of ICD in the therapy of sudden death survivors and new improvements in ICD technology was reviewed.