Related Experiment Video

Updated: Aug 13, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
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Repeated epicardial lead dislodgement in a child with trisomy 21 and complete atrioventricular block: A case report

Tatsunori Itabashi1, Ayako Chida-Nagai1, Yuto Suzuki1

  • 1Department of Pediatrics, Hokkaido University, Sapporo, Japan.

Journal of Cardiology Cases
|August 12, 2026
PubMed

Insights

Epicardial lead dislodgement is a rare issue in pediatric pacemaker patients. This case report details a 12-year-old girl with trisomy 21 experiencing two epicardial left ventricular lead dislodgements, exploring causes and management.

Area of Science:

  • Pediatric Cardiology
  • Biomedical Engineering
  • Congenital Heart Disease

Background:

  • Epicardial leads are commonly used for pacemaker implantation in pediatric patients due to factors like age, body size, and growth.
  • While advantageous for size and venous access, epicardial leads can be more invasive.
  • Pacemaker implantation in children with congenital heart disease necessitates careful consideration of individual anatomy and physiology.

Keywords:
Cardiac pacemakerCardiac resynchronization therapyComplete atrioventricular blockCongenital heart defectLead dislodgementTrisomy 21

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