PT - JOURNAL ARTICLE AU - F D Salama TI - A suggested site for the implantation of myocardial pacemakers in infants and young children. AID - 10.1136/thx.31.3.346 DP - 1976 Jun 01 TA - Thorax PG - 346--349 VI - 31 IP - 3 4099 - http://thorax.bmj.com/content/31/3/346.short 4100 - http://thorax.bmj.com/content/31/3/346.full SO - Thorax1976 Jun 01; 31 AB - A new site for burying an implantable pacemaker in infants and young children is described. The Medtronic sutureless screw electrode is applied to the diaphragmatic surface of the heart through a transxiphoid approach. The unit is inserted in the abdominal wall between the transversalis fascia and the transversus muscle. The method is simple, taking approximately 30 minutes to complete. It avoids thoracotomy. The unit is well concealed and protected. The coils of the lead are relatively free from adhesions and allow for growth in the child.