Document Detail

Temporary epicardial pacing in an extremely low-birth-weight infant with congenital atrioventricular block.
MedLine Citation:
PMID:  18377466     Owner:  NLM     Status:  MEDLINE    
Congenital atrioventricular block is a rare, but severe occurrence in the newborn can be related to various cardiac malformations or to maternal autoimmune diseases, particularly systemic lupus erythematosus. We report an extremely low-birth-weight infant affected by congenital heart block, due to positive anti-RO/SSA and anti-LA/SSB antibodies of the mother, with progressively increasing respiratory distress syndrome and heart failure. The infant was successfully treated with an external constant-current, single-chamber ventricular (VVI) temporary epicardial pacing, placed on the second day of life, at the weight of 810 g. After this treatment, cardiac failure resolved and respiratory assistance could be rapidly stopped. A single-chamber, rate-responsive, permanent pacemaker was placed at 3 months of life with steroid-eluting, epicardial-pacing leads. We emphasize that early extrathoracic temporary epicardial pacing is able to resolve heart failure in an extremely low-birth-weight infant.
Luca Filippi; Venturella Vangi; Bruno Murzi; Riccardo Moschetti; Andrea Colella
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Congenital heart disease     Volume:  2     ISSN:  1747-0803     ISO Abbreviation:  Congenit Heart Dis     Publication Date:    2007 May-Jun
Date Detail:
Created Date:  2008-04-01     Completed Date:  2008-06-19     Revised Date:  2011-05-05    
Medline Journal Info:
Nlm Unique ID:  101256510     Medline TA:  Congenit Heart Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  199-202     Citation Subset:  IM    
Neonatal Intensive Care Unit, Department of Critical Care Medicine, Meyer University Hospital, Florence, Italy.
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MeSH Terms
Antibodies, Antinuclear / blood
Atrioventricular Block / congenital*,  physiopathology,  therapy*
Cardiac Pacing, Artificial* / methods
Heart Failure / complications,  etiology
Infant, Extremely Low Birth Weight*
Infant, Newborn
Pericardium / physiopathology*
Pregnancy / immunology
Respiratory Distress Syndrome, Newborn / complications,  etiology,  therapy
Time Factors
Reg. No./Substance:
0/Antibodies, Antinuclear; 0/SS-A antibodies; 0/SS-B antibodies

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