Hartz R S, Kehoe R, Frederiksen J W, Zheutlin T, Shields T W
Northwestern University Medical School, Department of Surgery, Chicago, IL 60611.
J Thorac Cardiovasc Surg. 1989 Jun;97(6):920-2.
The automatic implantable cardioverter/defibrillator has become an integral part of the management of patients with life-threatening ventricular rhythm disturbances. The considerable size of the device (250 gm, 10.8 by 7.6 cm) results in protrusion from the abdominal wall, with an associated alteration in self-image in all patients. In thin patients, erosion through the skin can occur. We have devised an operation in which the generator is implanted in, and becomes part of, the chest wall. The two patients in whom this approach has been used are virtually unaware of the presence of the device. We propose this operation as an alternative to abdominal wall insertion when the latter is unsuitable for technical reasons.
植入式自动心脏复律除颤器已成为危及生命的室性心律失常患者治疗中不可或缺的一部分。该设备尺寸较大（250克，10.8×7.6厘米），会从腹壁突出，所有患者的自我形象都会因此改变。体型较瘦的患者可能会出现皮肤破溃。我们设计了一种手术方法，将发生器植入胸壁并成为胸壁的一部分。采用这种方法的两名患者几乎感觉不到该设备的存在。当因技术原因不适合在腹壁植入时，我们建议采用这种手术作为替代方法。
