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James S. Donahoo
Vincent L. Gott
Robert K. Brawley
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Ann Thorac Surg 1976;22:584-587
© 1976 The Society of Thoracic Surgeons


Articles

Permanent Cardiac Pacemakers in Children: Technical Considerations

James S. Donahoo, M.D.*, J. Alex Haller, M.D., Steven Zonnebelt, B.S., Catherine Neill, M.D., Vincent L. Gott, M.D., Robert K. Brawley, M.D.

From the Departments of Surgery and Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD

* Address reprint requests to Dr. Donahoo, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD 21205

Placement of permanent cardiac pacemakers in children presents technical problems that are not encountered in the adult. Problems unique to pacemaker implantation in children are related to the patient's size, the relative bulkiness of pulse generators, the lack of subcutaneous tissue, and the child's growth and long life expectancy. Based on our experience with implantation of 27 permanent cardiac pacemakers in 13 children, we have found that the use of small pulse generators, placement of epicardial leads, insertion of properitoneal pulse generators, and use of rechargeable pacemakers are satisfactory methods in children.




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