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Joseph J. Amato
Douglas D. Payne
Harold F. Rheinlander
Richard J. Cleveland
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Ann Thorac Surg 1978;25:243-247
© 1978 The Society of Thoracic Surgeons

Articles

Intermuscular Abdominal Implantation of Permanent Pacemakers in Infants and Children

Joseph J. Amato, M.D.*, Douglas D. Payne, M.D., Harold F. Rheinlander, M.D., Richard J. Cleveland, M.D.

Department of Cardiothoracic Surgery, New England Medical Center Hospital and Tufts University School of Medicine, Boston, MA.

Accepted for publication July 22, 1977.

* Address reprint requests to Dr. Amato, Tufts-New England Medical Center, 171 Harrison Ave., Boston, MA 02111

Pacemaker implantation in infants and young children presents technical problems because of the relatively large size of the units. Various implantation sites have been employed to avoid the problems of unsightliness, migration, skin necrosis with infection, and patient discomfort. We are presenting a new technique which obviates these difficulties. The pacemaker generator is located in a space developed between the muscles and fascia of the abdominal wall. This site will accept even the largest of demand pacemakers with cosmetically acceptable results.




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