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Emergency pacing via the umbilical vein of a neonate with congenital complete atrioventricular block: a report of two cases

Published online by Cambridge University Press:  25 April 2023

Noboru Tanaka*
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Bunkyo City, Tokyo, Japan
Kotoko Matsui
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Bunkyo City, Tokyo, Japan
Mana Harada
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Bunkyo City, Tokyo, Japan
Hideo Fukunaga
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Bunkyo City, Tokyo, Japan
Ken Takahashi
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Bunkyo City, Tokyo, Japan
Masahiko Kishiro
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Bunkyo City, Tokyo, Japan
Toshiaki Shimizu
Affiliation:
Department of Pediatrics, Juntendo University Faculty of Medicine, Bunkyo City, Tokyo, Japan
*
Author for correspondence: Noboru Tanaka, Department of Pediatrics, Juntendo University Faculty of Medicine, Bunkyo City, Tokyo, Japan. E-mail: nobonobo@juntendo.acjp

Abstract

We report two cases of successful emergency pacing via the umbilical vein in neonates with congenital complete atrioventricular block. The first patient, a neonate with normal cardiac anatomy, underwent emergency temporary pacing via the umbilical vein under echocardiographic guidance. The patient underwent permanent pacemaker implantation on postnatal day 4. The second patient, a neonate with heterotaxy syndrome, underwent emergency temporary pacing through the umbilical vein under fluoroscopic guidance. The patient underwent permanent pacemaker implantation on postnatal day 17.

Type
Brief Report
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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