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The Annals of Thoracic Surgery, Vol 54, 173-174, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Subfascial implantation of implantable cardioverter defibrillator generator

DM Shahian, WA Williamson, JM Streitz Jr and FJ Venditti
Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.

The automatic cardioverter defibrillator generator is a relatively large unit, which has most often been implanted in a subcutaneous pocket. In a consecutive series of 120 primary implantations, we employed a subrectus fascia pocket that has resulted in a cosmetically superior result with a 0.8% incidence of system infection. The technique of subfascial implantation is described.


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Defibrillator twiddler's syndrome.
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