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Emergency trans-oesophageal ventricular pacing in a child
Authors:Villain Elisabeth  Boudjemline Younes  Bonnet Damien
Institution:Service de Cardiologie Pédiatrique, H?pital Necker-Enfants Malades, Paris, France. elisabeth.villain@nck.ap-hop-paris.fr
Abstract:We report our experience with an 8-year-old boy with complete atrioventricular block and syncopal bradycardia who required urgent pacing. Each attempt to cross the tricuspid valve with a femoral lead triggered ventricular standstill, followed by fibrillation, and pacing through the coronary sinus failed. Successful ventricular pacing was finally achieved through the oesophagus, allowing subsequent implantation of a transvenous pacemaker.
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