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).