Placement of an Implantable Cardioverter Defibrillator Thorough a Transatrial Approach. A Case Report

Thrombosis of the superior vena cava is not frequent, but its appearance makes difficult the way for the implantation of pacemakers and defibrillators. There are alternatives when endovascular and epicardium vias cannot be used. However, some implantations of catheters of defibrillators via transatrial through minimal thoracotomy with good results at long-term and with an adequate threshold of defibrillation were described. In this presentation the case of a patient with history of Chagasic cardiopathy and dualchamber pacemaker due to bimodal disease is described. As he is a young patient with difficult accesses, transatrial via through minimal thoracotomy was used preserving the atrial catheter for stimulation and sensing.