Right mini-thoracotomy: An adjunct to left subcostal automatic implantable cardioverter defibrillator implantation

Gerald M. Lawrie, Raj R. Kaushik, Antonio Pacifico

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

High defibrillation thresholds are encountered in some patients during implantation of the automatic implantable cardioverter defibrillator (AICD). In a consecutive series of 52 patients with AICD implants, 46 had allepicardial implants by left subcostal thoracotomy, and 8 of these patients had thresholds greater than 30 J. Placement of an apicolateral large left ventricular patch and an extrapericardial large right atrial patch electrode through a limited right thoracotomy produced substantial reduction in their thresholds. Especially in patients who have had previous intrapericardial operations, this technique provides a simple solution to the problem of high thresholds.

Original languageEnglish (US)
Pages (from-to)780-781
Number of pages2
JournalThe Annals of thoracic surgery
Volume47
Issue number5
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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