Temporary Transcutaneous Pacing in a Low Birth Weight Preterm Neonate with Congenital Complete Atrioventricular Block: A Case Report.
- Author:
Na Hyun LEE
1
;
So Young SHIN
;
Ji Hyun PARK
;
Jae Hyun PARK
;
Chun Soo KIM
;
Hee Joung CHOI
Author Information
- Publication Type:Case Report
- Keywords: Congenital complete atrioventricular block; Cardiac pacing
- MeSH: Antibodies; Atrioventricular Block*; Humans; Infant, Low Birth Weight*; Infant, Newborn; Infant, Newborn*; Infant, Premature; Parturition
- From:Neonatal Medicine 2016;23(4):223-227
- CountryRepublic of Korea
- Language:English
- 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.
