Siclari F, Klein H
Department of Cardiac Surgery, Hannover Medical School, West Germany.
Pacing Clin Electrophysiol. 1990 Jun;13(6):715-8. doi: 10.1111/j.1540-8159.1990.tb02096.x.
In order to avoid the risk of major bleeding with redo sternotomy, an alternative surgical approach for the implantation of an automatic implantable cardioverter defibrillation (AICD) is presented. A subcostal incision in combination with a small left anterior thoracotomy was used in three patients. The procedure was easy to perform, considerably shorter than a redo sternotomy and well tolerated by the patient. We recommend this approach for AICD implantation in cases with previous heart operation.
为避免再次开胸手术时发生大出血风险，本文介绍了一种植入自动植入式心脏复律除颤器（AICD）的替代手术方法。对3例患者采用肋下切口联合小切口左前开胸手术。该手术操作简便，比再次开胸手术时间短得多，患者耐受性良好。对于曾接受心脏手术的患者，我们推荐采用这种方法植入AICD。
