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Gerald M. Lawrie
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Michael E. DeBakey
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Ann Thorac Surg 1976;21:350-353
© 1976 The Society of Thoracic Surgeons

Articles

Left Subcostal Insertion of the Sutureless Myocardial Electrode

Gerald M. Lawrie, M.D.*, George C. Morris, Jr., M.D., Jimmy F. Howell, M.D., Michael E. DeBakey, M.D.

From the Department of Surgery, Baylor College of Medicine, Houston, TX.

Accepted for publication July 2, 1975.

* Address reprint requests to Dr. Lawrie, Department of Surgery, Baylor College of Medicine, 1200 Moursund Ave, Houston, TX 77025

This report describes the use of a left subcostal extrapleural supradiaphragmatic approach to the heart for myocardial sutureless electrode insertion. Electrode insertion by this approach has consistently produced low electrode thresholds, and the ability to insert electrodes into the left ventricle or septal area of the right ventricle is considered an advantage.

This technique has now been used in 52 patients. Postoperative morbidity and complications have been minimal. The procedure appears to be well tolerated in the elderly, poor-risk patient and has been a useful technique for revision of failed pacemaker systems. We believe this procedure reduces the indications for permanent transvenous pacing.




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