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

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.