Document Detail

Bilateral anterior thoracotomy for automatic implantable cardioverter defibrillator placement in patients with previous sternotomy.
MedLine Citation:
PMID:  1417248     Owner:  NLM     Status:  MEDLINE    
Bilateral anterior thoracotomy, extrapericardial patches, and endocardial sensing lead placement have been used in 40 patients with previous sternotomy. The mean defibrillation threshold was 15 J, and in all patients the defibrillation threshold was less than 20 J. The surgical procedure is simplified with less risk by avoiding dissection of previously operated regions. Serious pulmonary complications have been avoided by adequate pain control with epidural analgesia and early mobilization. This technique has successfully been used in patients with underlying chronic obstructive pulmonary disease and amiodarone-induced pulmonary fibrosis. All patients have been extubated by the first postoperative day.
S V Karwande; J R Rowles
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  54     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-10-29     Completed Date:  1992-10-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  791-3     Citation Subset:  AIM; IM    
Department of Surgery, University of Utah Medical Center, Salt Lake City 84132.
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MeSH Terms
Electric Countershock / instrumentation*
Electrodes, Implanted
Reoperation / methods
Sternum / surgery
Thoracotomy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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