eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2014
vol. 11
 
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abstract:

“Planned” permanent pacemaker implantation in one-day-old newborn after prenatal diagnosis of congenital complete atrioventricular heart block

Ireneusz Haponiuk
,
Maciej Chojnicki
,
Aneta Szofer-Sendrowska
,
Jacek Juscinski
,
Mariusz Steffens
,
Radoslaw Jaworski
,
Iwona Domzalska-Popadiuk
,
Katarzyna Gierat-Haponiuk
,
Katarzyna Leszczynska
,
Krzysztof Preis

Kardiochirurgia i Torakochirurgia Polska 2014; 11 (1): 76-78
Online publish date: 2014/04/03
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We present a case of a severely ill newborn with congenital atrioventricular heart block (CAVB) diagnosed prenatally. The initial drug therapy just after birth was ineffective, the heart rhythm remained 54 beats per minute, and control echocardiographies showed forthcoming decrease of the left ventricular function with mitral insufficiency. A permanent pacing system with bipolar electrodes eluting two steroids (Medtronic Capsule, Medtronic Inc. Minneapolis, USA) and Medtronic ADAPTA® pulse generator (Medtronic Inc, Minneapolis, USA) was implanted on the first day of life. The pace control as well as wound healing were uncomplicated, and the baby was discharged home without additional medication. The procedure of permanent pacemaker implantation on the first day of life was safe and effective, as a benefit from a successfully performed prenatal program in our cooperating institutions.
keywords:

congenital complete atrioventricular block, permanent stimulation, pacemaker, pediatric cardiac surgery, neonatology, newborns

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