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Ann Thorac Surg 1990;49:495-496
© 1990 The Society of Thoracic Surgeons

Articles

Transvenous pacing in infants and children with congenital heart disease

Henry M. Spotnitz, MD*

Columbia Presbyterian Medical Center, New York, New York USA

Accepted for publication November 30, 1989.

* Address reprints to Dr Spotnitz, 600 W 168th St, New York, NY 10032.

A technique for transvenous pacemaker implantation in children with complex heart disease is described. The use of small positive-fixation leads, introducers, retained guidewires, and atrial lead loops to allow for growth all have an important role in management of this often challenging problem.




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