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. joung756@dsmc.or.kr |
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Abstract |
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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