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Left mini-thoracotomy for beating heart bypass grafting in a patient with S-ICD
  • +3
  • Simone Mureddu,
  • Giuseppe Damiano Sanna,
  • Paolo Ferrandu,
  • Giangiacomo Carta,
  • Gavino Casu,
  • Michele Portoghese
Simone Mureddu
Sassari University Hospital
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Giuseppe Damiano Sanna
Sassari University Hospital
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Paolo Ferrandu
Sassari University Hospital
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Giangiacomo Carta
Sassari University Hospital
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Gavino Casu
Sassari University Hospital
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Michele Portoghese
AOU Sassari Cardiochgirurgia
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Abstract

Cardiac surgery in patients already implanted with subcutaneous implantable cardioverter defibrillators (S-ICD) represents a challenge. Although a few reports described successful surgical procedures in these patients, a traditional approach with median sternotomy might potentially cause S-ICD malfunctioning. Minimally invasive techniques (e.g. left anterior thoracotomy) should be considered the first choice in order to preserve the integrity of the S-ICD system in suitable patients. Herein, we provide the first report of a patient implanted with S-ICD due to post-ischemic left ventricular dysfunction who underwent successful minimally invasive direct coronary artery bypass (MIDCAB).