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Case Reports
. 2021 Nov 25;9(11):e05143.
doi: 10.1002/ccr3.5143. eCollection 2021 Nov.

Successful implantation of S-ICD using the intermuscular two-incision technique in a patient with severe pectus excavatum

Fabrizio Guarracini  1 , Massimiliano Marini  1 , Mattia Strazzanti  1 , Roberto Bonmassari  1 , Stefano Guarracini  2 , Michele Di Mauro  3 , Andrea Droghetti  4
Affiliations
Case Reports

Successful implantation of S-ICD using the intermuscular two-incision technique in a patient with severe pectus excavatum

Fabrizio Guarracini et al. Clin Case Rep. .

Abstract

A patient with severe pectus excavatum, dilated ischemic heart disease, and indication for defibrillator implantation for primary prevention of sudden death underwent successful ultrasound-guided serratus anterior plane block and parasternal block with intermuscular two-incision technique implantation with no complications. At follow-up, all the parameters resulted stable with excellent signal sensing.

Keywords: pectus excavatum; serratus anterior plane block; subcutaneous implantable cardioverter defibrillator; two‐incision technique.

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Conflict of interest statement

Dr. Andrea Droghetti is a consultant for Boston Scientific. The other authors declare that they have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Two‐incision technique. The chest deformity is highlighted by the fluid (A). Intermuscular device placement (B)
FIGURE 2
FIGURE 2
CT image (A), postero‐anterior (B) and lateral (C) chest radiography after S‐ICD implantation. Note how the severity of pectus excavatum changed the position of “cardiac area” inside the mediastinum
FIGURE 3
FIGURE 3
Evolution of surgical wounds at one month of follow‐up (A, B)
See this image and copyright information in PMC

References

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    1. Droghetti A, Fusco P, Marini M, et al. Ultrasound‐guided serratus anterior plane block and parasternal block in cooperative sedation for S‐ICD implantation. Pacing Clin Electrophysiol. 2019;42(7):1076‐1078. - PubMed
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