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(Chest. 1972;62:112-114.)
© 1972 American College of Chest Physicians

A Method of Epicardial Pacing without Thoracotomy: Treatment of Heart Block in Patients with Tricuspid Valve Prosthesis

Samir K. Bhattacharya M.D.1; Maganlal Sutaria M.D.1; and Edward E. Braunstein M.D., F.C.C.P.1

1 Department of Thoracic and Cardiovascular Surgery, St. Francis Hospital, Roslyn, New York

A subcostal transdiaphragmatic approach to implant permanent epicardial pacing electrodes eliminates the increased morbidity of another thoracotomy in patients with a tricuspid prothetic valve and heart block. This procedure is particularly suitable for patients who have developed infection or pacemaker failure due to electrode breakage after transthoracic implantation. The operative technique and a case report is presented. Several alternative methods of cardiac pacing in patients with tricuspid prostheses are discussed.




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 Ann. Thorac. Surg.Home page
K. G. Warner, D. P. Halpin, C. I. Berul, and D. D. Payne
Placement of a permanent epicardial pacemaker in children using a subcostal approach
Ann. Thorac. Surg., July 1, 1999; 68(1): 173 - 175.
[Abstract] [Full Text] [PDF]


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