Dual chamber epicardial pacing through right minithoracotomy
Keywords:
Pacemaker, Artificial, Heart Block, Heart Septal Defects, AtrialAbstract
Minimally invasive cardiac surgery is safe and effective in the treatment of a wide range of cardiac diseases, with very positive in-hospital outcomes. We describe the case of a 72-year-old male patient, with atrial septal defect, bidirectional shunt and advanced atrioventricular block with syncope. The atrial septal defect closure was contraindicated and he was referred for a dual-chamber pacemaker and epicardial leads implantation due to the presence of shunt. The patient underwent a right minithoracotomy with the implantation
of bipolar atrial and ventricular leads and placement of a pacemaker generator in a subcutaneous envelope in the right infraclavicular region. The patient evolved well and was discharged on the fourth postoperative day in good conditions.
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