Takabayashi Shin, Ito Hisato, Shimpo Hideto, Sawada Hirohumi, Mitani Yoshihide, Komada Yoshihiro
Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, Tsu, Mie, Japan.
Jpn J Thorac Cardiovasc Surg. 2005 Apr;53(4):199-201. doi: 10.1007/s11748-005-0105-8.
We report a case of an emergent pacemaker implantation in a 1,502 g preterm neonate immediately after birth due to congenital complete atrioventricular block. At a gestational age of 29 weeks the patient was delivered by cesarean section followed by unsuccessful drug treatment of the atrioventricular block. Sixty-five minutes after birth the patient underwent permanent pacemaker implantation. Through a subxyphoid approach, a lead was fixed to the epicardium of the right ventricle, and connected to a pulse generator inserted between the rectus abdominus muscle and posterior rectus sheath. The patient is alive and well 16 months after the operation without pacemaker failure.
我们报告一例因先天性完全性房室传导阻滞在出生后立即对一名体重1502克的早产新生儿进行紧急起搏器植入的病例。孕29周时，患者行剖宫产分娩，随后对房室传导阻滞进行药物治疗未成功。出生后65分钟，患者接受了永久性起搏器植入。通过剑突下途径，将一根导线固定在右心室心外膜上，并连接到插入腹直肌和腹直肌后鞘之间的脉冲发生器。术后16个月，患者存活且状况良好，起搏器未出现故障。
