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Coronary Artery Bypass in Patients with Previously Placed Implantable Defibrillators
Author(s) -
BLAKEMAN BRADFORD P.,
WILBER DAVID,
OLSHANSKY BRIAN,
KALL JOHN
Publication year - 1993
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.1540-8159.1993.tb01011.x
Subject(s) - medicine , perioperative , cardiology , myocardial infarction , revascularization , artery , bypass operation , surgery
Four patients with previously placed implantable defibrillators required coronary revascularization several years after the original device was inserted. Three patients had a conventional system of epicardial patches and leads, and one patient had a nonthoracotomy system placed, All four patients were successfully revascularized without evidence of perioperative infarction or significant morbidity. The patient with the nonthoracotomy device did require manipulation of the endocardial lead at a separate setting. This limited experience suggests that patients needing revascularization after placement of an implantable defibrillator can be successfully by passed.