| Bilateral anterior thoracotomy for automatic implantable cardioverter defibrillator placement in patients with previous sternotomy. | |
| | |
MedLine Citation:
|
PMID: 1417248 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
S V Karwande; J R Rowles |
Related Documents
:
|
11058208 - Surgical management of lung gangrene. 20598898 - Pathological finding of subclinical interstitial pneumonia as a predictor of postoperat... 8711638 - Acute lung injury following lung resection: is one lung anaesthesia to blame? 22076678 - Intra-operative high frequency ultrasound improves surgery of intramedullary cavernous ... 15633988 - Prophylaxis for deep venous thrombosis in patients with craniotomies: a review. 1733678 - Outpatient protocol for biofeedback therapy of pelvic floor outlet obstruction. |
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 |
Affiliation:
|
Department of Surgery, University of Utah Medical Center, Salt Lake City 84132. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Electric Countershock
/
instrumentation* Electrodes, Implanted Humans Reoperation / methods Sternum / surgery Thoracotomy / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Limited vertical skin incision for median sternotomy.
Next Document: New side-holed sheath for intraaortic balloon pumping to maintain limb perfusion.