The Thoracic and Cardiovascular Surgeon, Table of Contents Thorac Cardiovasc Surg 1998; 46(6): 370-371DOI: 10.1055/s-2007-1010256 Case Report © Georg Thieme Verlag Stuttgart · New YorkTransthoracic Pacemaker Lead Insertion Via the Right AtriumF. A. Baciewicz Jr. Harper Hospital, Wayne State University, Detroit, USA Recommend Article Abstract PDF Download(opens in new window) Buy Article(opens in new window) All articles of this category(opens in new window) Abstract This case reports a right mediastinotomy approach to place DDD pacemaker leads in a patient without venous access in whom an epicardial lead was malfunctioning. Key words Pacemaker - Transthoracic approach - Vein occlusion - Vein filter PDF (826 kb)