@narrowqrs @seth_j_worley @aalahmadmd @drrodericktung @pacesep @seshadribalaji6 mini thoracotomy (or in this case actually subxiphoid is probably better as we are right under the sternum / imas) is definitely an option. will probably be screw-ins though with all their issues. and will need transvenous a +  leads regardless so could try for cs.