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Ann Thorac Surg 1994;57:723-725
© 1994 The Society of Thoracic Surgeons

Articles

Simplified subxiphoid placement of implantable cardioverter defibrillators using a posterior rectus pocket

Salem M. Habal, MD*, Irving B. David, MD, Richard M. Luceri, MD

Interventional Arrhythmia Center, Holy Cross Hospital, Fort Lauderdale, Florida USA

Accepted for publication June 29, 1993.

* Address reprint requests to Dr Habal, 4800 NE 20th Terrace, Suite 107, Fort Lauderdale, FL 33308.

A simplified subxiphoid procedure using a single longitudinal epigastric incision and posterior rectus pocket for implantable cardioverter defibrillators was used in 100 patients. Through a single incision, ventricular patches are placed via a transverse pericardiotomy, and a pouch is created behind the rectus abdominis muscle in the left upper quadrant for placement of the implantable cardioverter defibrillator. Patients have minimal discomfort soon after operation, and the implantable cardioverter defibrillator generator is imperceptible to most.




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