Emergent permanent pacemaker implantation in a premature 1,502 g neonate.
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.
Takabayashi
Shin
S
Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Tsu, Mie, Japan.
Ito
Hisato
H
Shimpo
Hideto
H
Sawada
Hirohumi
H
Mitani
Yoshihide
Y
Komada
Yoshihiro
Y
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