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Treatment by Pedicle Grafting of the Sinoauricular Node to the Right Ventricle

JOHN H. MAYER, III, MD; CARL H. ALMOND, MD; HILARIO ANIDO, MD; ANTHONY V. SEABER; JAMES W. MACKENZIE, MD

AMA Arch Surg. 1967;94(1):90-95.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE SURGICAL implantation of electronic pacemakers to correct varying degrees of heart block has not met with unqualified success. Battery decay, hermetic seal leakage, electrode dislodgement, wire breakage, infection, and fatal arrhythmias have been but a few of the complications reported.^1-4 Since the first pioneers introduced implantable cardiac pacemakers^5-7 in the initial part of this decade, the incidence of such technical difficulties has been markedly reduced. Nevertheless, some of the earliest reports^8-10 still stand to remind the surgeon that a very gross foreign body is being traumatically introduced into a precarious myocardial environment. The use of a naturally occurring conduction by-pass would seem to be fraught with less tribulation and provide a more reasonable approach to longterm survival in patients with medically intractable heart block.

Classical observations in the "heart-lung" preparations and later with the electrocardiogram enabled early students of cardiac function to state that seemingly normal . . . [Full Text PDF of this Article]

Author Affiliations
COLUMBIA, MO

From the Department of Surgery, University of Missouri, Columbia.

Footnotes
Submitted for publication June 30, 1966.

Read before the Forum of the American Medical Association Meeting, New York, June 1965.

Reprint requests to Department of Surgery, University of Missouri, Columbia, Mo 65201 (Dr. Almond).

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