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Related Experiment Videos

Implantable pacemakers in children.

J D Marco, J E Codd, H B Barner

    Archives of Surgery (Chicago, Ill. : 1960)
    |August 1, 1975
    PubMed
    Summary

    Implantable pacemakers can provide long, active lives for children with congenital heart defects, despite requiring frequent reoperations for device issues. Careful management of pacing systems is crucial for pediatric patients.

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    Area of Science:

    • Pediatric Cardiology
    • Biomedical Engineering

    Background:

    • Arrhythmias in children necessitate permanent pacemaker implantation.
    • Congenital, postoperative, and viral causes are identified.
    • Early and late mortality rates are significant concerns.

    Purpose of the Study:

    • To evaluate the long-term outcomes of permanent pacemaker implantation in pediatric patients.
    • To identify causes of mortality and reoperation in this cohort.
    • To assess the impact of reoperation on patient survival and quality of life.

    Main Methods:

    • Retrospective analysis of 12 pediatric patients (2 weeks to 6 years) who received permanent pacemakers.
    • Review of implantation indications, device-related complications, reoperation rates, and survival data.
    • Analysis of causes of death and long-term follow-up.

    Main Results:

    • One operative death and two late deaths occurred, the latter in patients with repaired tetralogy of Fallot.
    • High reoperation rate (37 times) for pacemaker exhaustion and electrode issues.
    • Nine of 12 patients survived long-term (9 months to over 10 years), with three surviving 8-10 years.

    Conclusions:

    • Despite high reoperation rates for device issues, permanent pacemakers can lead to long, active lives in children.
    • Diligent management and correction of pacing system defects are critical for favorable outcomes.
    • Ventricular arrhythmias may contribute to late mortality in specific complex congenital heart disease cases.

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