Urgent Permanent Pacemaker Implantation in Critically Ill Preterm Infants

Welch, Elizabeth; Hannan, Robert L.; DeCampli, William M.; Rossi, Anthony F.; Fishberger, Steven B.; Zabinsky, Jennifer A.; Burke, Redmond P.

doi:10.1016/j.athoracsur.2009.11.022

Cited by 10 publications

(10 citation statements)

References 9 publications

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“…In one of the cases, an emergency cesarean section was performed at 27 weeks of gestation due to a fetal heart rate of less than 90 beats per minute, without any obvious etiologies. 5 That case report is similar to our presented case, but with a better outcome. In our first case, complete atrioventricular block and fetal bradycardia were erroneously diagnosed as acute fetal hypoxia leading to the wrong management approach-an emergency cesarean section at a regional hospital.…”

Section: Discussionsupporting

confidence: 89%

“…7 Other authors support this approach. 5,8 However, even now there is no consensus as to which approach is better for the very low birth weight infant. Some authors have described their experience with successful pacemaker implantation in newborns weighing <1 kg.…”

Section: Discussionmentioning

confidence: 99%

“…3 There are a few reports of treatment options in the management of preterm neonates affected by isolated CCAVB. 2,[4][5][6][7][8][9][10] In this report, we present our first experience with the management of isolated CCAVB in two low birth weight preterm newborns and discuss the potential reasons for the different outcomes.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Challenges in the diagnosis and management of isolated congenital complete atrioventricular block in premature newborns

Gegieckienė

Vankevičienė

Kinčinienė

et al. 2019

Clinical Case Reports

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This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Abstract Diagnostic and treatment challenges of congenital complete atrioventricular block in two premature newborn babies are presented. Timely recognition of this fetal condition, appropriate antenatal care, and treatment at a tertiary level care hospital as well as prompt postnatal management of the newborn baby are the key factors for good outcome. Prematurity is also associated with an additional risk of poor outcome and complications. K E Y W O R D S dilated cardiomyopathy, fetal bradycardia, isolated congenital complete atrioventricular block, pacemaker implantation, premature newborns 1198 | GEGIECKIENĖ Et al.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Challenges in the diagnosis and management of isolated congenital complete atrioventricular block in premature newborns

Gegieckienė

Vankevičienė

Kinčinienė

et al. 2019

Clinical Case Reports

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“…A technique to circumvent cardiac compression by bulky leads in low-weight neonates is to route the excess lead in the pleural space. 4 The generator can be placed on the diaphragmatic surface of the same pleural space. Another approach is to use a single-chamber pacemaker with a smaller unipolar lead, and upgrade it to a dual-chamber system with bipolar leads when the child is older.…”

Section: Discussionmentioning

confidence: 99%

Cardiac strangulation from epicardial pacemaker: early recognition and prevention

Alhuzaimi¹,

Roy

Duncan³

2011

Cardiol Young

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Cardiac strangulation from epicardial pacemaker leads is a rare event that can be difficult to recognise and can cause serious complications such as cardiac failure or death. We describe a 3-year-old girl who received an epicardial pacing system as a neonate for complete congenital cardiac block and developed cardiac strangulation from the leads. The clinical presentation modes are reviewed and technical aspects for lead and generator positioning are discussed.

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“…A B [11][12][13] . However, early implantation in very young and small patients has a greater risk of poor cosmetic results with multiple scars, skin erosion and infection, lead extraction or fracture, generator migration, and re-implantation 14,15) .…”

Section: Introductionmentioning

confidence: 99%

Temporary Transcutaneous Pacing in a Low Birth Weight Preterm Neonate with Congenital Complete Atrioventricular Block: A Case Report

et al. 2016

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Congenital complete atrioventricular (AV) block is a rare neonatal disease. It is a passively acquired immune-mediated injury of the conduction system, triggered by transplacental passage of maternal anti-SSA/Ro and anti-SSB/La antibodies. Management of premature infants with symptomatic complete AV block is challenging. If medical treatment with a β-adrenergic agonist and inotropic drugs is not effective, early cardiac pacing should be considered. Here we report a case of congenital complete AV block in a low birth weight, preterm neonate, who was successfully treated with temporary transcutaneous pacing immediately after birth. Temporary transcutaneous pacing may be an option for the emergent management of a low birth weight preterm neonate with congenital complete AV block prior to permanent pacemaker implantation.

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Urgent Permanent Pacemaker Implantation in Critically Ill Preterm Infants

Cited by 10 publications

References 9 publications

Challenges in the diagnosis and management of isolated congenital complete atrioventricular block in premature newborns

Challenges in the diagnosis and management of isolated congenital complete atrioventricular block in premature newborns

Cardiac strangulation from epicardial pacemaker: early recognition and prevention

Temporary Transcutaneous Pacing in a Low Birth Weight Preterm Neonate with Congenital Complete Atrioventricular Block: A Case Report

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