Neonatal Med.  2016 Nov;23(4):223-227. 10.5385/nm.2016.23.4.223.

Temporary Transcutaneous Pacing in a Low Birth Weight Preterm Neonate with Congenital Complete Atrioventricular Block: A Case Report

• Lee NH
• Shin SY
• Park JH
• Park JH
• Kim CS
• Choi HJ

• KMID: 2360462
• DOI: http://doi.org/10.5385/nm.2016.23.4.223

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.

Keyword

Congenital complete atrioventricular block; Cardiac pacing

MeSH Terms

Antibodies
Atrioventricular Block*
Humans
Infant, Low Birth Weight*
Infant, Newborn
Infant, Newborn*
Infant, Premature
Parturition
Antibodies