A Case of Pacemaker Implantation in Premature Newborn with Congenital Complete Atrioventricular Block.

Baek,  Sang Hun; Ahn,  So Yoon; Lee,  Myung Sook; Han,  Young Mi; Sung,  Se In; Yoo,  Hye Soo; Kim,  Eun Sun; Park,  Won Soon; Jun,  Tae Gook; Huh,  June; Kang,  I Seok; Chang,  Yun Sil

doi:2012.19.4.275

Neonatal Med > Volume 19(4); 2012 > Article

Case Report

Journal of the Korean Society of Neonatology 2012;19(4):275-279.
DOI: https://doi.org/10.5385/jksn.2012.19.4.275 Published online December 25, 2012.

A Case of Pacemaker Implantation in Premature Newborn with Congenital Complete Atrioventricular Block.

Sang Hun Baek, So Yoon Ahn, Myung Sook Lee, Young Mi Han, Se In Sung, Hye Soo Yoo, Eun Sun Kim, Won Soon Park, Tae Gook Jun, June Huh, I Seok Kang, Yun Sil Chang

¹Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. cys.chang@samsung.com
²Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

The congenital complete atrioventricular block(CCAVB) is a rare disease, which is the most serious complication of neonatal lupus erythematosus. Newborn with CCAVB are at risk of diminished cardiac output and the subsequent development of congestive heart failure. Transplacental steroid and beta-adrenergic agonist therapies are useful for the first and second degree atrioventricular block. But those therapies are usually not effective for complete atrioventricular block. If the fetus has a complete atrioventricular block, delivery should be considered unless other delivery contraindications. In this situation, early pacemaker implantation surgery can improve the survival rate of patients. We report one case of premature newborn with congenital complete atrioventricular block who is successfully recovered by pacemaker implantation.

Key Words: Complete atrioventricular block; Pacemaker; Prematurity; Neonatal lupus erythematosus