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Automatic Implantable Cardioverter Defibrillator Implantation after Previous Open Heart Surgery: Subcostal Incision and Small Left Anterior Thoracotomy
Author(s) -
SICLARI FRANCESCO,
KLEIN HELMUTH
Publication year - 1990
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1990.tb02096.x
Subject(s) - medicine , thoracotomy , implantable cardioverter defibrillator , surgery , median sternotomy , defibrillation , cardiology
In order to avoid the risk of major bleeding with redo sternotomy, an alternative surgical approach for the implantation of an automatic implantable Cardioverter defibrillation (AICD) is presented. A subcostal incision in combination with a small left anterior thoracotomy was used in three patients. The procedure was easy to perform, considerably shorter than a redo sternotomy and well tolerated by the patient. We recommend this approach for A/CD implantation in cases with previous heart operation.