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Ann Thorac Surg 1991;52:1340-1341
© 1991 The Society of Thoracic Surgeons

Articles

Cosmetic approach for placement of the automatic implantable cardioverter-defibrillator in young women

Steven Curiale, MD, Lynda E. Rosenfeld, MD, John A. Elefteriades, MD*

Sections of Cardiothoracic Surgery and Cardiovascular Medicine, Yale University School of Medicine, New Haven, Connecticut USA

Accepted for publication July 31, 1991.

* Address reprint requests to Dr Elefteriades, Yale University School of Medicine, 121 FMB, 333 Cedar St, New Haven, CT 06510 USA.

A surgical approach is described for a more cosmetically acceptable placement of the automatic implantable cardioverter-defibrillator in young women. The transvenous sensing lead and the vena caval spring electrode are placed through a small subclavicular incision. The left ventricular patch electrode is placed through an anterior minithoracotomy in the crease under the left breast. A small transverse incision in the left lower quadrant is used to place the generator under the external oblique fascia in the low abdominal wall. Minimal cosmetic impairment from incisions and hardware results.






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Copyright © 1991 by The Society of Thoracic Surgeons.