Juan Fiorda Diaz, Joseph Holecko, Kasey Fiorini and Katja R Turner*
Department of Anesthesiology, The Ohio State University Wexner Medical Center, USAFulltext PDF
Subcutaneous Implantable Cardioverter-Defibrillators (S-ICD®) are a novel approach for primary and secondary prevention of sudden cardiac death in patients in whom intravascular or epicardial leads are not indicated. We described a case of a 47-year-old-male with multiple cardiovascular and renal comorbidities undergoing mitral valve surgery. Past medical history included an S-ICD® electrode implanted along the right parasternal border. Adhesion’s dissection of the subcutaneous electrode during surgery was challenging and resulted in an unintended damage of the subcutaneous electrode by electrocautery. Proper positioning of the device components is crucial for appropriate functioning. Prompt perioperative recognition of positioned components by surgeon and anesthesiologist may mitigate potential complications including ineffective/inappropriate shock therapy and damage to the device components (i.e., surgical dissection).
Diaz JF, Holecko J, Fiorini K, Turner KR. Unintended Damage of a Right Parasternal Subcutaneous Implantable Cardioverter-Defibrillator Electrode in a Patient Undergoing Cardiac Surgery. Ann Clin Case Rep. 2022; 7: 2317..