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Ravi Agarwal
Ganapathy Subramaniam Krishnan
Smartin Abraham
Kotturathu Mammen Cherian
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Ann Thorac Surg 2007;83:1549-1552
© 2007 The Society of Thoracic Surgeons

Case Reports

Extrapleural Intrathoracic Implantation of Permanent Pacemaker in the Pediatric Age Group

Ravi Agarwal, MCha, Ganapathy Subramaniam Krishnan, MCha, Smartin Abraham, MCha, Kinnari Bhatt, MDb, Prem Sekar, MRCPc, Snehal Kulkarni, MD, DNBc, Kotturathu Mammen Cherian, FRACS, DSca,*

a Department of Pediatric Cardiac Surgery, International Center for Cardiothoracic and Vascular Diseases, Chennai, Tamilnadu, India
b Department of Cardiac Anesthesia, International Center for Cardiothoracic and Vascular Diseases, Chennai, Tamilnadu, India
c Department of Pediatric Cardiology, International Center for Cardiothoracic and Vascular Diseases, Chennai, Tamilnadu, India

Accepted for publication September 14, 2006.

* Address correspondence to Dr Cherian, International Center for Cardiothoracic and Vascular Diseases, R-30 C, Ambattur Industrial Estate Rd, Mogappair, Chennai 600 101, Tamilnadu, India (Email: drkmc{at}airtelbroadband.in).

Permanent pacemaker implantation in pediatric patients poses challenges in finding a suitable pocket for generator implantation. We present our experience with 6 patients in whom the pacemaker was placed in an extrapleural intrathoracic location. We find that an extrapleural intrathoracic pocket is a useful site for generator placement in the neonatal and pediatric age group. It is safe, reproducible, and both the lead and generator can be placed through a single incision. We briefly discuss the advantages and disadvantages of other techniques that require a single incision for both lead and generator placement.




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F. Roubertie, E. Le Bret, J. B. Thambo, and X. Roques
Intra-diaphragmatic pacemaker implantation in very low weight premature neonate
Interactive CardioVascular and Thoracic Surgery, October 1, 2009; 9(4): 743 - 744.
[Abstract] [Full Text] [PDF]


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