Pacemaker implantation in a neonate with congenital complete heart block —A case report |
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Authors: | Yasunori Koga Masao Tomita Koichiro Shibata Toshio Onitsuka |
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Institution: | (1) The Second Department of Surgery, Miyazaki Medical College, 5200 Kiyotake, 889-16 Miyazaki, Japan |
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Abstract: | Reported herein is our experience with pacemaker implantation in a neonate with complete AV block and without other concomitant
cardiac anomalies. A male fetus exhibited an intrauterine heart rate of about 40 beats per minute on the electrocardiogram.
An emergency pacemaker implantation was attempted at birth by means of intravenous temporary pacing to relieve signs of congestive
heart failure. On the 28th day of life, a myocardial electrode was fixed on the right ventricular wall and the generator was
positioned on the left side of the subcutaneous abdominal wall. A technical device was designed by means of packing pacemaker
wire in a loop-forming fashion with a silastic sheet and was made in such a way as to adjust with growth of the patient. During
the 2 year follow-up period, this technique proved to be effective. Our experience also supports the contention that pacemaker
implantation in the newborn is feasible and beneficial in the treatment of congenital complete AV block. |
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Keywords: | pacemaker congenital AV block myocardial electrodes bradycardia in neonates temporary-permanent pacemaker |
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