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Ann Thorac Surg 1982;34:515-520
© 1982 The Society of Thoracic Surgeons

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Articles

Implantation of the Automatic Defibrillator: The Subxiphoid Approach

Departments of Surgery and Medicine, The Johns Hopkins Medical Institutions, Baltimore, and the Department of Medicine, Sinai Hospital of Baltimore, Baltimore, MD.

Accepted for publication October 10, 1981.

^* Address reprint requests to Dr. Watkins, Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, MD 21205.

The automatic implantable defibrillator is an electronic device capable of diagnosing and correcting malignant venticular arrhythmias. While major thoracic surgery was required in the original 24 implants, a new technique for implanting the device has been developed. The first subxiphoid implantations have been accomplished with the defibrillatory function successfully tested intraoperatively. The advantages and indications of the subxiphoid technique are reviewed.

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