title: Emergency trans-oesophageal ventricular pacing in a child.
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.
authors.affiliation: Service de Cardiologie Pédiatrique, Hôpital Necker-Enfants Malades, Paris, France. elisabeth.villain@nck.ap-hop-paris.fr
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Villain
authors.forename: Younes
authors.initials: Y
authors.lastname: Boudjemline
authors.forename: Damien
authors.initials: D
authors.lastname: Bonnet
mesh_terms: D001919:Bradycardia / Q000628:therapy; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D002648:Child; D004562:Electrocardiography; D004630:Emergencies; D004947:Esophagus; D006327:Heart Block / Q000628:therapy; D006801:Humans; D008297:Male; D013575:Syncope / Q000209:etiology