Surgical implantation of a biventricular pacing system via lower half mini sternotomy

Morteza Tavakkoli Hosseini,Antonios Kourliouros,Aron Frederik Popov,Mazin Sarsam

doi:10.1186/1749-8090-8-5

Morteza Tavakkoli Hosseini, Antonios Kourliouros + Show 2 more

Open Access

https://doi.org/10.1186/1749-8090-8-5

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Abstract

We present a case of surgical implantation of biventricular epicardial pacing leads and a defibrillating patch via lower half mini sternotomy. Although median sternotomy is routinely used for this purpose, lower half mini sternotomy could provide the surgeon with the same surgical field exposure and a faster post operative recovery.

Highlights

Transvenous implantation of permanent atrial or ventricular pacing leads is the method of choice in adults
Median sternotomy provides access to the surface of all chambers of the heart, it may be unnecessary for a full sternotomy
We present a case of surgical implantation of biventricular epicardial pacing leads and defibrillating patch via lower half mini sternotomy

Summary

Introduction

Transvenous implantation of permanent atrial or ventricular pacing leads is the method of choice in adults. The optimal pacing system implantation technique in the presence of infected endocardial pacing system or limited venous access to the heart has not yet been defined [4,5]. Surgical implantation of epicardial pacing leads is an option in children and adults who are not suitable for traditional transvenous approach.

Results

Conclusion