Key result
Inframammary pacemaker placement yields optimal cosmetic results with no visible device in young females.
Why the study?
Young female patients requiring permanent pacing have concerns about the cosmetic effects of pacemaker surgery.
Does inframammary pulse generator placement improve cosmetic outcomes in young female patients requiring permanent pacing?
Case Report (n=2)
Does inframammary pulse generator placement improve cosmetic outcomes in young female patients requiring permanent pacing?
Inframammary placement of pacemaker pulse generators can provide optimal cosmetic results for young female patients.
Answers are grounded in this paper and cite their sources.
May support inframammary placement for cosmesis in select young women; hypothesis-generating case report requiring prospective validation.
Today with the expanding clinical role of cardiac pacing and more advanced methods of detecting pacing problems, more and more young patients are being identified as candidates for permanent pacing. Concern has been expressed by young female patients over the cosmetic effects of pacemaker surgery. Two young female patients were evaluated from a physiologic and cosmetic point of view. The electrodes were placed via the percutaneous approach. The pulse generator was treated as a breast implant using the usual recommended plastic surgeon's inframammary approach. In both cases, optimal cosmetic effect was achieved without any external evidence of the pacemaker system.
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Belott et al. (1983) conducted a case report in Candidates for permanent pacing (n=2). Inframammary pulse generator placement was evaluated on Cosmetic effect. Inframammary pulse generator placement achieved optimal cosmetic effect without any external evidence of the pacemaker system in two young female patients.
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