Endocavitary pacemaker implanted in a 2 years old child due to epicardial system failure

Authors

  • Michel Cabrera Ortega Cardiocentro Pediatrico William Soler
  • Ailema A. Alemán Fernández Instituto de Cardiologia y Cirugia Cardiovascular
  • Dunia B. Benítez Ramos Cardiocentro Pediatrico William Soler

Keywords:

Pediatría, Estimulación epicárdica, Estimulación endocárdica

Abstract

Historically, epicardial pacing has been the preferred pacing system in children, due to anatomical difficulties of venous access and the absence of endocardial electrodes with diameters suitable for small hearts. We present a case of a 2 years old with a history of coarctation of the aorta and outflow tract obstruction of the left ventricle by fibrous rim, as a complication of the surgical correction the patient presented a complete atrioventricular blockage, requiring implantation o f epicardial permanent pacemaker. During follow ups the patient presented syncopal episodes associated with cable stimulation failure due to an increased threshold, so he required a second operation to reposition the electrode.Due to repeated failure of stimulation for the same reason, we decided to implement an endocavitary system

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Author Biography

Michel Cabrera Ortega, Cardiocentro Pediatrico William Soler

Jefe de Dpto de Arritmia y Estimulación cardiaca. Cardiocentro Pediatrico William Soler

Published

2014-02-04

How to Cite

1.
Cabrera Ortega M, Alemán Fernández AA, Benítez Ramos DB. Endocavitary pacemaker implanted in a 2 years old child due to epicardial system failure. Rev. cuba. cardiol. cir. cardiovasc. [Internet]. 2014 Feb. 4 [cited 2025 Feb. 12];19(2):62-5. Available from: https://revcardiologia.sld.cu/index.php/revcardiologia/article/view/324

Issue

Section

Arrhythmias and Pacemakers

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