Right mini-thoracotomy: An adjunct to left subcostal automatic implantable cardioverter defibrillator implantation Academic Article Article uri icon


MeSH Major

  • Heart Valve Prosthesis Implantation
  • Image Enhancement
  • Magnetic Resonance Imaging, Cine
  • Mitral Valve
  • Mitral Valve Insufficiency


  • High defibrillation thresholds are encountered in some patients during implantation of the automatic implantable cardioverter defibrillator (AICD). In a consecutive series of 52 patients with AICD implants, 46 had allepicardial implants by left subcostal thoracotomy, and 8 of these patients had thresholds greater than 30 J. Placement of an apicolateral large left ventricular patch and an extrapericardial large right atrial patch electrode through a limited right thoracotomy produced substantial reduction in their thresholds. Especially in patients who have had previous intrapericardial operations, this technique provides a simple solution to the problem of high thresholds.

publication date

  • January 1989



  • Academic Article


Digital Object Identifier (DOI)

  • 10.1016/0003-4975(89)90147-1

PubMed ID

  • 2730201

Additional Document Info

start page

  • 780

end page

  • 1


  • 47


  • 5