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Edwin E. Vyhmeister
Anees J. Razzouk
Glen S. Van Arsdell
Steven R. Gundry
Leonard L. Bailey
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Ann Thorac Surg 1994;57:1341-1342
© 1994 The Society of Thoracic Surgeons

Articles

Simple approach for extrapericardial placement of defibrillator patches via median sternotomy

Edwin E. Vyhmeister, MD*, Anees J. Razzouk, MD, Glen S. Van Arsdell, MD, Vilma I. Torres, MD, Steven R. Gundry, MD, Leonard L. Bailey, MD

Division of Cardiothoracic Surgery, Department of Surgery, and Department of Cardiology, Loma Linda University, Loma Linda, California, USA

Accepted for publication December 4, 1993.

* Address reprint requests to Dr Vyhmeister, Division of Cardiothoracic Surgery, Loma Linda University Medical Center, 11234 Anderson St, Loma Linda, CA 92354.

The intrapericardial placement of implantable cardioverter defibrillator patches has been associated with a variety of complications due to the patch-epicardial interface. Extrapericardial placement of defibrillator patches minimizes these problems. We describe a simple and reproducible technique to achieve this goal whenever a median sternotomy approach is used.




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J. M. Piehler, D. A. Killen, A. Michael Borkon, W. A. Reed, M. E. Gorton, G. M. Gura Jr, and A. H. Kragel
Right atrial compression related to defibrillator patches
Ann. Thorac. Surg., March 1, 1995; 59(3): 684 - 688.
[Abstract] [PDF]


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