Neonatal Med Search


Neonatal Med > Volume 23(4); 2016 > Article
Neonatal Medicine 2016;23(4):223-227.
DOI:    Published online November 30, 2016.
Temporary Transcutaneous Pacing in a Low Birth Weight Preterm Neonate with Congenital Complete Atrioventricular Block: A Case Report.
Na Hyun Lee, So Young Shin, Ji Hyun Park, Jae Hyun Park, Chun Soo Kim, Hee Joung Choi
Department of Pediatrics, Keimyung University School of Medicine, Daegu, Korea.
Congenital complete atrioventricular (AV) block is a rare neonatal disease. It is a passively acquired immune-mediated injury of the conduction system, triggered by transplacental passage of maternal anti-SSA/Ro and anti-SSB/La antibodies. Management of premature infants with symptomatic complete AV block is challenging. If medical treatment with a β-adrenergic agonist and inotropic drugs is not effective, early cardiac pacing should be considered. Here we report a case of congenital complete AV block in a low birth weight, preterm neonate, who was successfully treated with temporary transcutaneous pacing immediately after birth. Temporary transcutaneous pacing may be an option for the emergent management of a low birth weight preterm neonate with congenital complete AV block prior to permanent pacemaker implantation.
Key Words: Congenital complete atrioventricular block; Cardiac pacing


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