Implantable cardioverter defibrillators (ICDs) are indicated in patients with Brugada syndrome with resuscitated ventricular arrhythmias. When these patients have atrial septal defects, they also need closure to prevent paradoxic embolism of thrombus from the defibrillator leads. A 15-year-old boy with Brugada syndrome had transvenous ICD placement along with device closure of a large atrial septal defect. When the defibrillation threshold was checked during device testing, a shock was delivered to terminate the induced ventricular fibrillation. The sudden jerk during this shock resulted in device embolization into the left atrium. The device was successfully retrieved and the defect closed with a larger device. This report discusses this extremely rare association of Brugada syndrome with atrial septal defect, unreported complications after device closure, and successful management of the problem.

译文

:植入性心脏复律除颤器(ICD)适用于Brugada综合征伴有复苏性室性心律失常的患者。当这些患者患有房间隔缺损时,他们还需要关闭以防止除颤器导线产生血栓的矛盾性栓塞。一名患有Brugada综合征的15岁男孩经静脉ICD植入并关闭了一个较大的房间隔缺损。在设备测试期间检查除颤阈值时,会发出电击以终止诱发的心室纤颤。在这种电击过程中突然的急动导致装置栓塞入左心房。已成功检索设备,并使用较大的设备关闭了缺陷。本报告讨论了Brugada综合征与房间隔缺损,装置闭合后未报告的并发症以及成功解决该问题的这种极为罕见的关联。

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