Department of Pediatrics, The University of Tokyo Hospital, Tokyo, Japan.
Cardiol Young. 2023 Feb;33(2):318-320. doi: 10.1017/S1047951122001706. Epub 2022 Jun 3.
A baby with complete atrioventricular block was born with a birth weight of 1403 g. Isoproterenol was ineffective and emergency pacing was required. Since transcutaneous pacing was ineffective and transvenous pacing was untenable due to small body size, transesophageal pacing was performed for 3.5 hours until permanent pacemaker implantation. There were no complications. This is the first report of continuous transesophageal pacing in a very-low-birth-weight infant.
一名体重为 1403 克的完全性房室传导阻滞患儿出生。异丙肾上腺素无效，需紧急起搏。因经皮起搏无效，且患儿体型较小，经静脉起搏不可行，故行食管内起搏 3.5 小时，直至植入永久性起搏器。过程中无并发症。这是极低出生体重儿连续食管内起搏的首例报告。
