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The Annals of Thoracic Surgery, Vol 57, 1341-1342, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Simple approach for extrapericardial placement of defibrillator patches via median sternotomy

EE Vyhmeister, AJ Razzouk, GS Van Arsdell, VI Torres, SR Gundry and LL Bailey
Department of Surgery, Loma Linda University, 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. M. 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] [Full Text]


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