Anesthetic Management at Implantation of Permanent Pacemaker for Newborn with Congenital Complete Heart Block

AbstractPermanent pacemaker implantation in low birthweight (LBW) babies with congenital complete heart block is extremely challenging due to a paucity of appropriate pulse generator placement pocket sites. The development of infection following an implantation procedure can pose a life-threatening risk to the patients. With more patients in the younger group receiving these devices than ever before and the rate of infection increasing rapidly, a closer look at the burden of infection and its impact on outcome of these patients is warranted. We report mucormycosis infection at the abdominal pacemaker pocket site of an infant requiring pacemaker explantation and re-insertion into the intrapleural space.

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Congenital complete heart block in pregnancy

Hormone Molecular Biology and Clinical Investigation ◽

10.1515/hmbci-2018-0042 ◽

2018 ◽

Vol 35 (2) ◽

Author(s):

Nurul Iftida Basri ◽

Shuhaila Ahmad

Keyword(s):

Postpartum Period ◽

Heart Block ◽

Multidisciplinary Approach ◽

Complete Heart Block ◽

Breech Presentation ◽

Permanent Pacemaker ◽

External Cephalic Version ◽

Congenital Complete Heart Block ◽

Temporary Pacemaker ◽

In Pregnancy

Abstract Complete heart block (CHB) is infrequently encountered during pregnancy. Its management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist and neonatologist. It varies from conservative, temporary or permanent pacemaker (PPM) insertion (either during the antenatal, intrapartum or postpartum period). We present the case of a 30-year-old, gravida 2 para 1 at the 36-week period of amenorrhea (POA) with congenital CHB. She was asymptomatic throughout her pregnancy despite having a pulse rate between 40 and 50 beats per minute. She delivered a healthy boy via cesarean section due to breech presentation after a failed external cephalic version. A temporary pacemaker was inserted prior to delivery. However, she required permanent insertion of pacemaker during the postpartum period.

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Implantation of permanent pacemaker in the first month of life for congenital complete heart block

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(19)40676-4 ◽

1973 ◽

Vol 65 (6) ◽

pp. 851-855 ◽

Cited By ~ 10

Author(s):

Farouk S. Idriss ◽

Ralph Otto ◽

Hisashi Nikaidoh ◽

Edgar Newfeld ◽

Milton H. Paul

Keyword(s):

Heart Block ◽

Complete Heart Block ◽

Permanent Pacemaker ◽

Congenital Complete Heart Block

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Anesthetic management of an infant with lupus and congenital complete heart block

Pediatric Anesthesia ◽

10.1111/j.1460-9592.2005.01754.x ◽

2006 ◽

Vol 16 (2) ◽

pp. 216-217 ◽

Cited By ~ 3

Author(s):

Deepak Kumar Sreevastava ◽

R. Setlur ◽

V. K. Sharma ◽

H. S. Padmini ◽

B. Puri ◽

...

Keyword(s):

Heart Block ◽

Complete Heart Block ◽

Anesthetic Management ◽

Congenital Complete Heart Block

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Anesthetic management of congenital complete heart block in childhood

Journal of Pediatric Surgery ◽

10.1016/s0022-3468(80)80420-9 ◽

1980 ◽

Vol 15 (1) ◽

pp. 100

Author(s):

Katherine Barky

Keyword(s):

Heart Block ◽

Complete Heart Block ◽

Anesthetic Management ◽

Congenital Complete Heart Block

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Anesthetic Management of a Parturient with Congenital Complete Heart Block posted for Emergency Lower Segment Cesarean Section

The Journal of Medical Sciences ◽

10.5005/jp-journals-10045-0022 ◽

2015 ◽

Vol 1 (4) ◽

pp. 74-76

Author(s):

GS Karthik ◽

R Mamatha ◽

MJ Sowmya ◽

KT Venkateshmurthy ◽

H Sahajananda

Keyword(s):

Cesarean Section ◽

Heart Block ◽

Complete Heart Block ◽

Anesthetic Management ◽

Cardiac Pacing ◽

Pregnant Patient ◽

Fetal Outcome ◽

Lower Segment ◽

Lower Segment Cesarean Section ◽

Congenital Complete Heart Block

ABSTRACT Pregnancy complicated with complete heart block is rare and usually required termination of pregnancy in the past. Improvement in medical technology in the form of cardiac pacing has allowed taking these women to term. Overall, maternal and fetal outcome is not affected in asymptomatic cases. We report here an unbooked, pregnant patient presented at 38+ weeks with complete heart block and pregnancy-induced hypertension for emergency lower segment cesarean section (LSCS). Emergency LSCS was performed under general anesthesia. Maternal and fetal outcome was good. How to cite this article Mamatha R, Sowmya MJ, Venkateshmurthy, Sahajananda H, Karthik GS. Anesthetic Management of a Parturient with Congenital Complete Heart Block posted for Emergency Lower Segment Cesarean Section. J Med Sci 2015;1(4):74-76.

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Successful emergency cardiac pacing and permanent pacemaker insertion in a preterm 29-week gestation hydropic baby with congenital complete heart block

Cardiology in the Young ◽

10.1017/s1047951114000481 ◽

2014 ◽

Vol 25 (2) ◽

pp. 348-349 ◽

Cited By ~ 1

Author(s):

Matthew Jonathan Beake ◽

Vinay Bhole ◽

Tracey Johnston ◽

Shree Vishna Rasiah

Keyword(s):

Heart Block ◽

Poor Prognosis ◽

Complete Heart Block ◽

Cardiac Pacing ◽

Permanent Pacemaker ◽

Congenital Complete Heart Block ◽

Epicardial Pacing ◽

Pacemaker Insertion

AbstractA preterm 29-week gestation baby was delivered because of gross foetal hydrops secondary to congenital complete heart block. Despite a poor prognosis, she survived stabilisation and received emergency epicardial pacing followed by permanent pacemaker insertion on day 13, weighing 1.2 kg.

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