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Ann Thorac Surg 1992;54:173-174
© 1992 The Society of Thoracic Surgeons

Articles

Subfascial implantation of implantable cardioverter defibrillator generator

David M. Shahian, MD*, Warren A. Williamson, MD, John M. Streitz, MD, Ferdinand J. Venditti, MD

Department of Thoracic and Cardiovascular Surgery and Section of Cardiology, Lahey Clinic Medical Center, Burlington, Massachusetts USA

Accepted for publication March 20, 1992.

* Address reprint requests to Dr Shahian, Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, 41 Mall Rd, Burlington, MA 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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