Implantation of pacemaker electrode from parasternal mediastinotomy.

A review of the literature on the possibilities of myocardial pacemaker electrode implantation is presented. The field of indication of myocardial electrode implantation is restricted to cases of repeated intracardial electrode dislocation and multiple suppuration. In the authors' experience parasternal mediastinotomy offers an appropriate surgical approach for myocardial electrode implantation and has several advantages over other methods of penetration.