Cardioverter Defibrillator Implantation in a Pregnant Woman Guided with Transesophageal Echocardiography

Abstract

This report describes a 28-year-old pregnant woman with mitral valve prolapse and sudden cardiac death due to a ventricular fibrillation who underwent an ICD implantation guided by tranesophageal echocardiography.

2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death

“…Ablacja przezcewnikowa może być konieczna w przypadku źle tolerowanych częstoskurczów, które są oporne na leki. U pacjentek z ICD możliwe są dobre wyniki ciąży bez zagrożenia dla płodu [695][696][697]. Jeżeli wskazania do wszczepienia ICD wystąpią podczas ciąży, to można rozważyć podskórny ICD w celu uniknięcia stosowania fluoroskopii, ale trzeba też wziąć pod uwagę ograniczone doświadczenie ze stosowaniem tych urządzeń.…”

Contemporary Management of Arrhythmias During Pregnancy

“…If indicated, ICDs can be successfully implanted during pregnancy with little fluoroscopy, and some have used no fluoroscopy with echocardiographic guidance. 55,56 Regarding the presence of an ICD during pregnancy, little information is available, but the available studies are reassuring. Natale et al 57 assembled a series of 44 pregnant women with ICDs, 42 of whom had abdominal generators.…”

Role of echocardiography in the assessment and management of adult congenital heart disease in pregnancy

“…Cardioverter Defibrillator (ICD) implantation is also feasible in pregnant women with various cardiac diseases [107]. The main advantage of TEE monitoring is the easy recognition of the lead position that makes easy and quick the implant [108] but the use of TEE in more complex anatomy should be investigated.…”