title: Treatment of Congenital Complete Atrioventricular Heart Block With Permanent Epicardial Pacemaker in Neonatal Lupus Syndrome.
abstract: BACKGROUND
  Neonatal lupus syndrome (NLS) is a passively acquired autoimmune condition due to the transplacental passage of maternal anti-Ro/SSA and anti-La/SSB antibodies in mothers with systemic lupus erythematosus (SLE), and congenital complete heart block (CHB) is its most serious manifestation. Skin and hepatic involvement may occur in later infancy.
  
  
  METHODS
  A term infant with fetal bradycardia, detected at the 23rd gestational age, was diagnosed with CHB due to NLS and was successfully treated with a permanent epicardial pacemaker. The patient was reported here due to rarity of the procedure in neonatal period.
  
  
  CONCLUSIONS
  Mothers with SLE should be screened and closely followed up during pregnancy for the development of fetal atrioventricular (AV) block.
authors.affiliation: Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey.
authors.forename: Sema
authors.initials: S
authors.lastname: Tanriverdi
authors.affiliation: Department of Pediatrics, Ege University, Faculty of Medicine, Division of Pediatric Cardiology, Izmir, Turkey.
authors.forename: Zulal
authors.initials: Z
authors.lastname: Ulger
authors.affiliation: Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey.
authors.forename: Betul
authors.initials: B
authors.lastname: Siyah Bilgin
authors.affiliation: Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey.
authors.forename: Nilgun
authors.initials: N
authors.lastname: Kultursay
authors.affiliation: Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Yalaz
authors.affiliation: Department of Cardiovascular Surgey, Ege University, Faculty of Medicine, Izmir, Turkey.
authors.forename: Yuksel
authors.initials: Y
authors.lastname: Atay
authors.affiliation: Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey.
authors.forename: Ozge Altun
authors.initials: OA
authors.lastname: Koroglu
keywords: Artificial Cardiac Pacemaker; Heart Block; Neonatal Lupus Syndrome; Therapy