Successful implantation of a bipolar epicardial lead and an autocapture pacemaker in a low-body-weight infant with congenital atrioventricular block: Report of a case

Surgery Today ◽  
2000 ◽  
Vol 30 (6) ◽  
pp. 555-557 ◽  
Author(s):  
Yukihiro Tomita ◽  
Yutaka Imoto ◽  
Ryuji Tominaga ◽  
Hisataka Yasui
Keyword(s):  
Body Weight ◽  
Atrioventricular Block ◽  
Epicardial Lead ◽  
Congenital Atrioventricular Block

Minimally invasive permanent pacemaker implantation immediately after birth: from delivery room to heart surgery

2021 ◽  
pp. 1-3
Author(s):  
Mehmet Taşar ◽  
Nur Dikmen Yaman ◽  
Burcu Arıcı ◽  
Ömer Nuri Aksoy ◽  
Huseyin Dursin ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Atrioventricular Block ◽  
Heart Surgery ◽  
Pacemaker Implantation ◽  
Skin Incision ◽  
Permanent Pacemaker ◽  
Invasive Technique ◽  
Permanent Pacemaker Implantation ◽  
Congenital Atrioventricular Block ◽  
The Right

Abstract Introduction: Congenital atrioventricular block is diagnosed in uterine life, at birth, or early in life. Atrioventricular blocks can be life threatening immediately at birth so urgent pacemaker implantation techniques are requested. Reasons can be cardiac or non-cardiac, but regardless of the reason, operations are challenging. We aimed to present technical procedure and operative results of pacemaker implantation in neonates. Materials and methods: Between June 2014 and February 2021, 10 neonates who had congenital atrioventricular block underwent surgical operation to implant permanent epicardial pacemaker by using minimally invasive technique. Six of the patients were female and four of them were male. Mean age was 4.3 days (0–11), while three of them were operated on the day of birth. Mean weight was 2533 g (1200–3300). Results: Operations were achieved through subxiphoidal minimally skin incision. Epicardial 25 mm length dual leads were implanted on right ventricular surface and generators were fixed on the right (seven patients) or left (three patients) diaphragmatic surface by incising pleura. There were no complication, morbidity, and mortality related to surgery. Conclusion: Few studies have characterised the surgical outcomes following epicardial permanent pacemaker implantation in neonates. The surgical approach is attractive and compelling among professionals so we aimed to present the techniques and results in patients who required permanent pacemaker implantation in the first month of life.

Congenital atrioventricular block: clinical presentation, clinical evaluation, and management

ESC CardioMed ◽  
2018 ◽  
pp. 1966-1968
Author(s):  
Drago Fabrizio ◽  
Battipaglia Irma
Keyword(s):  
Heart Disease ◽  
Atrioventricular Block ◽  
Pacemaker Implantation ◽  
Cardiac Conduction ◽  
Ventricular Rate ◽  
Postnatal Life ◽  
Av Block ◽  
Cardiac Stimulation ◽  
Immune Mediated ◽  
Congenital Atrioventricular Block

Congenital atrioventricular block (CAVB) is a cardiac conduction disorder that is diagnosed in utero, at birth, or within the first month of life. When it is diagnosed between the first month and the 18th year of life, it is defined as childhood atrioventricular (AV) block. CAVB may occur in association with concomitant congenital heart disease, or be isolated, in a structurally normal heart (e.g. immune-mediated, inherited, or idiopathic CAVB). The majority of isolated CAVB is an immune-mediated AV block, due to transplacental passage of maternal autoantibodies, damaging the fetal cardiac conduction system. Only in a third of infants with immune-mediated CAVB is a well-defined autoimmune disease known in the mother. During fetal life, fetal echocardiography still represents the gold standard for the diagnosis of CAVB. Two major negative prognostic markers are low ventricular rate and the appearance of foetal hydrops. As regards prognosis, a risk for heart failure, syncope, and sudden death is present both during fetal and postnatal life. Dilated cardiomyopathy represents another complication in CAVB history, with different possible aetiologies (right ventricular permanent pacing, reactivation of autoimmune myocarditis). The indications for pacemaker implantation in patients with CAVB are similar to those for acquired heart disease, with some special technical considerations due to young age (epicardial versus endocardial systems, pacing site, etc.). As a future perspective, leadless cardiac stimulation in children with CAVB may represent a definitive solution and an answer to many questions.

Isolated congenital atrioventricular block diagnosedin utero: Natural history and outcome

2008 ◽  
Vol 21 (7) ◽  
pp. 469-476 ◽  
Author(s):  
Johannes M. P. J. Breur ◽  
Livia Kapusta ◽  
Philip Stoutenbeek ◽  
Gerard H. A. Visser ◽  
Paul van den Berg ◽  
...  
Keyword(s):  
Natural History ◽  
Atrioventricular Block ◽  
Congenital Atrioventricular Block

Lack of connection between the atria and the more peripheral conduction system in congenital atrioventricular block

1971 ◽  
Vol 27 (5) ◽  
pp. 481-490 ◽  
Author(s):  
Maurice Lev ◽  
Jay Silverman ◽  
Francis M. Fitzmaurice ◽  
Milton H. Paul ◽  
Donald E. Cassels ◽  
...  
Keyword(s):  
Atrioventricular Block ◽  
Conduction System ◽  
Congenital Atrioventricular Block
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