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European Journal of Cardio-Thoracic Surgery, Vol 4, 342-344, Copyright © 1990 by European Association for Cardio-thoracic Surgery

ARTICLES

New site for pacemaker generators in children

S Nikol, C Minale, W Engelhardt and BJ Messmer
Department of Thoracic and Cardiovascular Surgery, RWTH Aachen, FRG.

Bipolar pacemaker implantation was performed in three children, aged 5, 6 and 9 years. The two epimyocardial fishhook pacing electrodes were inserted through different incisions. After resection of the anterior part of the 5th and 6th rib, the generator was placed into a pocket with the posterior wall resulting from the remaining periostium/perichondrium and the anterior wall consisting of the isolated intercostal and pectoral muscle. The leads were brought in extrapleurally and connected to the generator. The operations were conducted without perioperative and late postoperative complications.




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Copyright © 1990 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.