Wright Cassidy D, Roehl Kendall R, Stephen Huang Shoei K, Mahabir Raman C
From the *Texas A&M Health Science Center College of Medicine, Temple, TX; †Division of Plastic Surgery, Scott and White, Temple, TX; and ‡Section of Cardiac Electrophysiology and Pacing, Division of Cardiology, Scott and White, Temple, TX.
Ann Plast Surg. 2013 Nov;71(5):621-3. doi: 10.1097/SAP.0b013e318250f06c.
Implantable cardioverter-defibrillator (ICD) technology has progressed through the years decreasing the size of the device, and its effectiveness in preventing sudden cardiac death has made it a mainstay of treatment for many patients. As the use of ICDs in younger patients has increased, issues with placement of an ICD in the usual prepectoral, infraclavicular region have arisen. Subglandular placement through an inframammary incision provides a unique approach and an aesthetically pleasing outcome for ICD placement. We present a review of the current literature and 3 cases of young female patients who had placement of an ICD using this approach.
多年来,植入式心脏复律除颤器(ICD)技术不断进步,设备尺寸减小,其预防心脏性猝死的有效性使其成为许多患者治疗的主要手段。随着ICD在年轻患者中的使用增加,在通常的胸前、锁骨下区域植入ICD出现了一些问题。通过乳房下切口进行乳腺下植入为ICD植入提供了一种独特的方法和美观的效果。我们对当前文献进行综述,并介绍3例采用这种方法植入ICD的年轻女性患者的病例。