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The Annals of Thoracic Surgery, Vol 54, 1223-1225, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Permanent pacemaker implantation in premature infants less than 2,000 grams of body weight

M Ohmi, M Tofukuji, K Sato, T Nakame, N Sato, K Haneda and H Mohri
Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan.

Pacemaker implantation in premature infants presents technical problems because of the relatively larger size of the pulse generator compared with their bodies. A new technique with which successful generator implantation was performed in 2 premature infants less than 2,000 g of body weight is described. The generator is wrapped in a Gore-Tex surgical membrane. A piece of membrane overlying the electrical contact surface of the generator is removed, and the generator is fixed to the abdominal wall in the peritoneal cavity. The technique is simple to perform and would give relative ease in generator exchange.


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