| Temporary epicardial pacing in an extremely low-birth-weight infant with congenital atrioventricular block. | |
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MedLine Citation:
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PMID: 18377466 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Luca Filippi; Venturella Vangi; Bruno Murzi; Riccardo Moschetti; Andrea Colella |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Congenital heart disease Volume: 2 ISSN: 1747-0803 ISO Abbreviation: Congenit Heart Dis Publication Date: 2007 May-Jun |
Date Detail:
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Created Date: 2008-04-01 Completed Date: 2008-06-19 Revised Date: 2011-05-05 |
Medline Journal Info:
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Nlm Unique ID: 101256510 Medline TA: Congenit Heart Dis Country: United States |
Other Details:
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Languages: eng Pagination: 199-202 Citation Subset: IM |
Affiliation:
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Neonatal Intensive Care Unit, Department of Critical Care Medicine, Meyer University Hospital, Florence, Italy. filippi.luca@virgilio.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Antibodies, Antinuclear
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blood Atrioventricular Block / congenital*, physiopathology, therapy* Cardiac Pacing, Artificial* / methods Female Heart Failure / complications, etiology Humans Infant, Extremely Low Birth Weight* Infant, Newborn Pericardium / physiopathology* Pregnancy / immunology Respiratory Distress Syndrome, Newborn / complications, etiology, therapy Time Factors |
| Chemical | |
Reg. No./Substance:
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0/Antibodies, Antinuclear; 0/SS-A antibodies; 0/SS-B antibodies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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