Journal of Arrhythmia (Jan 2005)

Myocardial Electrode Implantation by the Subxiphoid Approach Using a Heart Stabilizer

  • Takeshiro Fujii, MD,
  • Yoshinori Watanabe, MD,
  • Noritsugu Shiono, MD,
  • Hiroki Yokomuro, MD,
  • Tsukasa Ozawa, MD,
  • Nobuya Koyama, MD

DOI
https://doi.org/10.1016/S1880-4276(05)80020-1
Journal volume & issue
Vol. 21, no. 5
pp. 556 – 558

Abstract

Read online

During implantation of a pacemaker into a 15-year-old male (height: 155 cm, weight: 65 kg) suffering from complete atrioventricular block, it was difficult to exteriorize the myocardium by approaching from below the xiphoid process so an operative field was obtained by using a heart stabilizer. A myocardial electrode was fixed after confirming stable circulatory dynamics with no arrhythmia and good R wave amplitude and pacing thresholds. As the heart stabilizer is now a vital device for off-pump coronary artery bypass (OPCAB), we consider that it will also become a useful device for procedures other than OPCAB in the field of cardiac surgery.

Keywords