In this procedure, the provider performs a thoracotomy, to open the chest wall and remove the pacemaker system along with the atrial or ventricular electrode lead from the heart surface. He removes the subcutaneous pacemaker generator, from just under the skin in the chest wall. The pacemaker system includes the pacemaker generator, which a small battery powered computer like device and the lead wires that connect the heart muscle to the pacemaker generator.
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