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Management of congenital complete heart block in a low-birth-weight infant

Keisuke Nakanishi1, Ken Takahashi2, Shiori Kawasaki3

  • 1Department of Cardiovascular Surgery, School of Medicine, Juntendo University, Tokyo, Japan. knakani@juntendo.ac.jp.

Journal of Cardiac Surgery
|August 31, 2016
PubMed

Insights

Pacemaker implantation in tiny infants is challenging. This study details a successful pacemaker surgery for complete heart block in an 803-gram infant, overcoming size and infection risks.

Area of Science:

  • Pediatric Cardiology
  • Neonatal Surgery

Background:

  • Pacemaker implantation in neonates presents significant challenges due to small size and infection risk.
  • Complete heart block in infants requires timely intervention for survival.

Observation:

  • A neonate weighing 803 grams presented with complete heart block.
  • The infant's small body size and vulnerability to infection posed surgical hurdles.

Findings:

  • Successful pacemaker implantation was achieved in a critically low-birth-weight infant.
  • The procedure addressed the complete heart block, stabilizing the infant's condition.

Implications:

  • This case demonstrates the feasibility of pacemaker implantation in extremely small infants.
  • Advances in neonatal surgical techniques can improve outcomes for congenital heart defects.

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