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Temporary pacemaker implantation through umbilical vein in a low birth weight neonate with congenital complete heart block

Part of: Electrophysiology

Published online by Cambridge University Press:  23 April 2021

Romila Chimoriya Open the ORCID record for Romila Chimoriya [Opens in a new window] ,
Neeraj Awasthy Open the ORCID record for Neeraj Awasthy [Opens in a new window]  and
Gaurav Kumar Open the ORCID record for Gaurav Kumar [Opens in a new window]
Romila Chimoriya
Affiliation:
Department of Pediatric Cardiology, Max Superspeciality Hospital, Saket, Delhi, India
Neeraj Awasthy*
Affiliation:
Department of Pediatric Cardiology, Max Superspeciality Hospital, Saket, Delhi, India
Gaurav Kumar
Affiliation:
Department of Pediatric Cardiology, Max Superspeciality Hospital, Saket, Delhi, India
*
Author for correspondence: N. Awasthy, Department of Pediatric Cardiology, Max Superspeciality Hospital, 123, Anandkunj, Vikaspuri, New Delhi110018, India. Tel: +91 9811962775; Fax: +911126510050. E-mail: n_awasthy@yahoo.com
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Abstract

Congenital heart block is a rare and lethal condition in paediatric population associated with maternal connective tissue disorders and rarely with structural cardiac disease like atrioventricular canal defects with or without left isomerism and congenitally corrected transposition of great arteries. Pacing in neonate if indicated is generally accomplished by epicardial pacing systems. However, in cases of significant bradycardia and haemodynamic instability, temporary pacemaker implantation via transvenous approach remains as a suitable option. Despite the advances in percutaneous catheter interventions, use of transvenous pacing in newborn is extremely challenging due to inadvertent risk of vessel injury, thrombus formation and mortality, and most of the time technical inability to place the lead within the right ventricular cavity. We report a case of congenital complete atrioventricular block in a premature male with birth weight of 1.51 kg who was managed with temporary pacemaker implantation through umbilical vein.

Keywords

Congenital heart blockneonatepacingumbilical vein
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 10 , October 2021 , pp. 1687 - 1689
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Kelle, AM, Backer, CL, Tsao, S, et al. Dual-Chamber epicardial pacing in neonates with congenital heart block. J Thorac Cardiovasc Surg 2007; 134: 1188–1192.CrossRefGoogle ScholarPubMed
Friedman, DM, Duncanson, LJ, Glickstein, J, Buyon, JP. A review of congenital heart block. Paediatr Cardiol 2003; 5: 36–48.Google ScholarPubMed
Sadasivam, I, Kamupira, S. Neonatal congenital heart block-management and outcome on cases admitted to a regional neonatal intensive care unit. Archives of Disease in Childhood 2018; 103: A85.Google Scholar
Li, X-M, Zhang, D-Y, Li, H-Y, et al. Emergency pacing via the umbilical vein and subsequent permanent pacemaker implantation in a neonate. Pediatr Cardiol 2017; 38: 199–201.CrossRefGoogle Scholar
Sivarajah, J, Huggon, IC, Rosenthal, E. Successful management of fetal hydrops due to congenitally complete atrioventricular block. Cardiol Young 2003; 13: 380–383.CrossRefGoogle ScholarPubMed
Yildirim, A, Tunaodlu, FS, Karaadac, AT. Neonatal congenital heart block. Indian Pediatr 2013; 50: 483–488.CrossRefGoogle ScholarPubMed
Kannankeril, PJ, Dzurik, MV, Fish, FA. Umbilical venous route for temporary pacing in a critically ill premature newborn with complete congenital heart block. Heart Rhythm 2006; 3: S21–S22.CrossRefGoogle Scholar
Doshi, HN, Lokare, ST. Temporary neonatal atrial pacing through the umbilical venous route: a novel technique. Ann Pediatr Cardiol 2011; 4: 164–165.CrossRefGoogle ScholarPubMed
Hanseus, K, Sandstrom, S, Schuller, H. Emergency Pacing and subsequent permanent pacemaker implantation in a premature infant of 1770 with a follow up of 6 years. Pediatr Cardiol 2000; 21: 470–473.CrossRefGoogle Scholar