Abdominal Emergency After Subcutaneous ICD Implantation

S Allan Petty; Ramil Goel

doi:10.1016/j.jaccas.2022.05.006

Abdominal Emergency After Subcutaneous ICD Implantation

JACC Case Rep. 2022 Jul 20;4(14):847-850. doi: 10.1016/j.jaccas.2022.05.006.

Authors

S Allan Petty¹, Ramil Goel^{1

2}

Affiliations

¹ Division of Cardiology, University of Florida, Gainesville, Florida, USA.
² Malcolm Randall Veterans Affairs Medical Center, Gainesville, Florida, USA.

Abstract

We describe a previously unreported and potentially fatal complication of colonic perforation following the implantation of a subcutaneous implantable cardioverter-defibrillator in a young patient with nonischemic cardiomyopathy. We discuss the importance of technique and postprocedural evaluation for subdiaphragmatic complications. This description emphasizes presenting complaints, early recognition, and management strategies. (Level of Difficulty: Beginner.).

Keywords: SICD, subcutaneous implantable cardioverter-defibrillator; cardiomyopathy; colonic perforation; complication; electrophysiology.

Publication types

Case Reports