title: Emergent permanent pacemaker implantation in a premature 1,502 g neonate.
abstract: We report a case of an emergent pacemaker implantation in a 1,502 g preterm neonate immediately after birth due to congenital complete atrioventricular block. At a gestational age of 29 weeks the patient was delivered by cesarean section followed by unsuccessful drug treatment of the atrioventricular block. Sixty-five minutes after birth the patient underwent permanent pacemaker implantation. Through a subxyphoid approach, a lead was fixed to the epicardium of the right ventricle, and connected to a pulse generator inserted between the rectus abdominus muscle and posterior rectus sheath. The patient is alive and well 16 months after the operation without pacemaker failure.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Tsu, Mie, Japan.
authors.forename: Shin
authors.initials: S
authors.lastname: Takabayashi
authors.forename: Hisato
authors.initials: H
authors.lastname: Ito
authors.forename: Hideto
authors.initials: H
authors.lastname: Shimpo
authors.forename: Hirohumi
authors.initials: H
authors.lastname: Sawada
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Mitani
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Komada
mesh_terms: D002304:Cardiac Pacing, Artificial; D005260:Female; D006327:Heart Block / Q000628:therapy*; D006330:Heart Defects, Congenital / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D019102:Infant, Very Low Birth Weight; D010138:Pacemaker, Artificial