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Failure of transvenous ICD to terminate ventricular fibrillation in a patient with left ventricular noncompaction and polycystic kidneys
Authors:Pastore Gianni  Zanon Fancesco  Baracca Enrico  Piva Michele  Bernardi Annamaria  Piergentili Christian  Rigatelli Gianluca  Roncon Loris  Barold S Serge
Institution:Department of Cardiology, Rovigo General Hospital, Rovigo, Italy. gian.past@libero.it
Abstract:Implantable cardioverter defibrillator (ICD) testing in patients with left ventricular noncompaction (LVNC) at the time of implantation and potential difficulties with ventricular fibrillation (VF) induction/termination in LVNC patients are often not stated in the literature. This report describes the failure of transvenous implantation of an ICD in a 40-year-old patient with LVNC and polycystic kidneys. A high defibrillation threshold (DFT) prevented termination of ICD-induced VF. This case suggests that DFT testing should be considered in any LVNC patient during ICD implantation. The association of LVNC and polycystic kidneys is also discussed.
Keywords:left ventricular noncompaction  polycystic kidney  ventricular tachycardia  ventricular fibrillation  ICD
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