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Ann Thorac Surg 1991;52:148-150
© 1991 The Society of Thoracic Surgeons

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Articles

Permanent transfemoral pacemaker insertion after repair of congenital heart disease

^a Division of Cardiothoracic Surgery, Department of Surgery and Deborah Research Institute, Deborah Heart and Lung Center, Browns Mills, USA
^b Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey USA

Accepted for publication December 17, 1990.

^_* Address reprint requests to Dr Laub, Division of Cardiothoracic Surgery, Deborah Heart and Lung Center, Browns Mills, NJ 08015.

In certain patients with anomalies of systemic venous connection, traditional transvenous pacemaker lead insertion may not be technically feasible. We report the use of the femoral venous approach to insert a permanent pacemaker in a patient with congenital heart disease who had undergone two previous cardiac operations and had persistent anomalies of the superior systemic venous circulation. We recommend that the femoral venous approach be considered in select patients requiring permanent pacing.