Very late pacemaker extrusion: A rare complication of permanent pacemaker implantation

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.

Download Full-text

A rare indication of permanent pacemaker implantation in children: congenital long QT syndrome

Cardiology in the Young ◽

10.1017/s1047951120003108 ◽

2020 ◽

Vol 30 (12) ◽

pp. 1880-1881

Author(s):

Mehmet Taşar ◽

Nur Dikmen Yaman ◽

Huseyin Dursin ◽

Murat Şimşek ◽

Senem Özgür

Keyword(s):

Sudden Death ◽

Long Qt Syndrome ◽

Pacemaker Implantation ◽

Torsades De Pointes ◽

Permanent Pacemaker ◽

Long Qt ◽

Permanent Pacemaker Implantation ◽

Qt Syndrome ◽

Congenital Lqts ◽

Congenital Long Qt Syndrome

AbstractCongenital Long QT Syndrome (LQTS) is a dangerous arrhythmic disorder that can be diagnosed in children with bradycardia. It is characterised by a prolonged QT interval and torsades de pointes that may cause sudden death. Long QT syndrome is an ion channelopathy with complex molecular and physiological infrastructure. Unlike the acquired type, congenital LQTS has a genetic inheritance and it may be diagnosed by syncope, stress in activity, cardiac dysfunction, sudden death or sometimes incidentally. Permanent pacemaker implantation is required for LQTS with resistant bradycardia even in children to resolve symptoms and avoid sudden death.

Download Full-text

Incidence and Risk Factors for Permanent Pacemaker Implantation Following Mitral or Aortic Valve Surgery

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2019.08.1064 ◽

2019 ◽

Vol 74 (21) ◽

pp. 2607-2620 ◽

Cited By ~ 7

Author(s):

Gil Moskowitz ◽

Kimberly N. Hong ◽

Gennaro Giustino ◽

A. Marc Gillinov ◽

Gorav Ailawadi ◽

...

Keyword(s):

Risk Factors ◽

Aortic Valve ◽

Pacemaker Implantation ◽

Permanent Pacemaker ◽

Valve Surgery ◽

Aortic Valve Surgery ◽

Permanent Pacemaker Implantation

Download Full-text