A Case of Pacemaker Implantation in Premature Newborn with Congenital Complete Atrioventricular Block.
10.5385/jksn.2012.19.4.275
- Author:
Sang Hun BAEK
1
;
So Yoon AHN
;
Myung Sook LEE
;
Young Mi HAN
;
Se In SUNG
;
Hye Soo YOO
;
Eun Sun KIM
;
Won Soon PARK
;
Tae Gook JUN
;
June HUH
;
I Seok KANG
;
Yun Sil CHANG
Author Information
1. Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. cys.chang@samsung.com
- Publication Type:Case Report
- Keywords:
Complete atrioventricular block;
Pacemaker;
Prematurity;
Neonatal lupus erythematosus
- MeSH:
Adrenergic beta-Agonists;
Atrioventricular Block;
Cardiac Output;
Fetus;
Heart Failure;
Humans;
Infant, Newborn;
Lupus Erythematosus, Systemic;
Rare Diseases;
Survival Rate
- From:Journal of the Korean Society of Neonatology
2012;19(4):275-279
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The congenital complete atrioventricular block(CCAVB) is a rare disease, which is the most serious complication of neonatal lupus erythematosus. Newborn with CCAVB are at risk of diminished cardiac output and the subsequent development of congestive heart failure. Transplacental steroid and beta-adrenergic agonist therapies are useful for the first and second degree atrioventricular block. But those therapies are usually not effective for complete atrioventricular block. If the fetus has a complete atrioventricular block, delivery should be considered unless other delivery contraindications. In this situation, early pacemaker implantation surgery can improve the survival rate of patients. We report one case of premature newborn with congenital complete atrioventricular block who is successfully recovered by pacemaker implantation.
