ABSTRACT
<b>Objective:</b> The aim of this report was to discuss validity of pacemaker surgery for elderly individuals over 90 years old.<br><b>Patient:</b> We operated on 12 individuals over 90 years old who had syncope or congestive heart failure in association with bradycardia, between January 2005 and November 2012.<br><b>Methods:</b> All 12 patients were referred to us by the cardiology department of our hospital for pacemaker surgery. We applied our routine technique: cutdown of the cephalic vein, creation of a subpectoral pocket, use of screw-in leads, and use of generators with an automatic output control system.<br><b>Results:</b> All of the patients received a dual chamber system with atrial and ventricular leads and recovered uneventfully. The follow-up period was between 1 month and 7 years.<br><b>Conclusion:</b> An advanced age over 90 years old is not a contraindication for pacemaker surgery.