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Minimally invasive permanent pacemaker implantation immediately after birth: from delivery room to heart surgery

Permanent Pacemaker Implantation in First Month of Life

Part of: Interventional Cardiology

Published online by Cambridge University Press:  23 July 2021

Mehmet Taşar Open the ORCID record for Mehmet Taşar [Opens in a new window] ,
Nur Dikmen Yaman ,
Burcu Arıcı ,
Ömer Nuri Aksoy ,
Huseyin Dursin ,
Aslı Ayaz ,
Rümeysa Citli ,
Senem Özgür  and
İlker Ufuk Sayıcı
Mehmet Taşar*
Affiliation:
Department of Pediatric Cardiovascular Surgery, Dr. Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
Nur Dikmen Yaman
Affiliation:
Department of Pediatric Cardiovascular Surgery, Dr. Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
Burcu Arıcı
Affiliation:
Department of Pediatric Cardiovascular Surgery, Dr. Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
Ömer Nuri Aksoy
Affiliation:
Department of Pediatric Cardiovascular Surgery, Dr. Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
Huseyin Dursin
Affiliation:
Department of Pediatric Cardiovascular Surgery, Dr. Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
Aslı Ayaz
Affiliation:
Department of Anesthesia, Dr. Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
Rümeysa Citli
Affiliation:
Department of Neonatology, Kahramanmaraş Necip Fazıl City Hospital, Kahramanmaraş, Turkey
Senem Özgür
Affiliation:
Department of Pediatric Cardiology, Dr. Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
İlker Ufuk Sayıcı
Affiliation:
Department of Pediatric Cardiology, Dr. Sami Ulus Maternity, Child Health and Diseases Training and Research Hospital, Ankara, Turkey
*
Author for correspondence: Mehmet Taşar, Ankara Dr. Sami Ulus Obstetrics and Gynecology, Children’s Health and Diseases Training and Research Hospital, Ankara, Turkey. Tel: +90 505 442 47 80; Fax: +90 312 305 60 14. E-mail: mehmet.tasar@hotmail.com
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Abstract

Introduction:

Congenital atrioventricular block is diagnosed in uterine life, at birth, or early in life. Atrioventricular blocks can be life threatening immediately at birth so urgent pacemaker implantation techniques are requested. Reasons can be cardiac or non-cardiac, but regardless of the reason, operations are challenging. We aimed to present technical procedure and operative results of pacemaker implantation in neonates.

Materials and methods:

Between June 2014 and February 2021, 10 neonates who had congenital atrioventricular block underwent surgical operation to implant permanent epicardial pacemaker by using minimally invasive technique. Six of the patients were female and four of them were male. Mean age was 4.3 days (0–11), while three of them were operated on the day of birth. Mean weight was 2533 g (1200–3300).

Results:

Operations were achieved through subxiphoidal minimally skin incision. Epicardial 25 mm length dual leads were implanted on right ventricular surface and generators were fixed on the right (seven patients) or left (three patients) diaphragmatic surface by incising pleura. There were no complication, morbidity, and mortality related to surgery.

Conclusion:

Few studies have characterised the surgical outcomes following epicardial permanent pacemaker implantation in neonates. The surgical approach is attractive and compelling among professionals so we aimed to present the techniques and results in patients who required permanent pacemaker implantation in the first month of life.

Keywords

Permanent pacemakerneonatecardiac surgeryminimally invasive procedures
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 5 , May 2022 , pp. 702 - 704
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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