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Week 2 Surgical Report.docx

Week 2 Surgical Report.docx - Heather Bell Week 2 Surgical...

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Heather Bell 3-15-18 Week 2 Surgical Report DATE OF OPERATION: 02/15/2015 PREOPERATIVE DIAGNOSIS: Chronic atrial fibrillation and episodes of bradycardia complicated by syncope. POSTOPERATIVE DIAGNOSIS: Chronic atrial fibrillation and episodes of bradycardia complicated by syncope. OPERATION PERFORMED: Insertion of a ventricular pacemaker. SURGEON: Jason McDermott, MD ASSISTANT: None. ANESTHESIA: Local. ANESTHESIOLOGIST: Janet Doroughty, MD DESCRIPTION OF OPERATION: Under sedation and local anesthesia, a d iagonal incision was made through the skin and subcutaneous tissue below the left clavicle. A pocket was created between the subcutaneous and muscular layers. Through the medial corner of the wound, the subclavian vein was cannulated and a guidewire was advanced under fluoroscopic control into the superior vena cava. Following the usual sequence, a ventricular wire was put in place, was secured to the muscle at the insertion site with #2-0 silk, was connected to the pulse generator and was carefully coiled underneath it inside the pocket. The wound was
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