Minimally Invasive Implantation of an Extravascular Implantable Cardioverter-Defibrillator Device in a 2 Year Old

Automated implantable cardioverter defibrillator device implantation in young children is a rare procedure that typically necessitates intrapericardial lead placement. The extravascular implantable cardioverter defibrillator device can be implanted with the patient in a substernal position and with a straightforward and minimally invasive technique. The largest incision is made to accommodate the generator device. The alignment of the coils and device provides a good vector for defibrillation while permitting somatic growth. Here we describe implantation of an extravascular implantable cardioverter defibrillator in a 2-year-old child, among the youngest patients to receive this device to date.