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Repair of Superior Vena Caval Perforation during Pacemaker Placement with Video-Assisted Limited Thoracotomy
James I. Fann1, J. Edwin Atwood, Thomas A. Burdon
1Department of Cardiothoracic Surgery and Division of Cardiology, Stanford University Medical Center, Stanford; Sections of Cardiothoracic Surgery and Cardiology, VA Palo Alto HCS, Palo Alto, California, USA.
Abstract:
Abstract We report a case of a patient who sustained superior vena cava perforation just proximal to the innominate-caval confluence during pacemaker implantation. Because this complication was recognized early and the dilator was left in place, the patient remained hemodynamically stable and successfully underwent a videoscopically assisted repair of the superior vena caval perforation through a limited thoracotomy incision.
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