| Permanent Epicardial Pacing in Pediatric Patients |
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I Seok Kang, Chung Il Noh, Jung Yun Choi, Yong Soo Yun |
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Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea |
| 소아에서의 심외막 인공심장박동기 |
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강이석, 노정일, 최정연, 윤용수 |
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서울대학교 의과대학 소아과학교실 |
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| Abstract |
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From September 1982 to July 1991, 40 infants and children aged 3 days to 13 years(mean 3.1 years) underwent implantation of 45 cardiac pacemakers using epicardial leads(40 primary implants, 5 re-implants). Nineteen patients required pacing for surgically acquired heart block, 1 for surgically acquired sinus node dysfunction, 11 for congenital complete atrio-ventricular(AV) block, 7 for nonsurgical sinus node dysfunction, and 2 for nonsurgically acquired complete atrio-ventricular(AV) block. Only 6 of 40 patients had no associated cardiac anomalies. Of 40 primary implantations, 2 were AAI pacing, 29, VVI pacing, and 9, DDD pacing. Four patients required 5 re-implantations because of battery depletion, lead fracture, insulation break, exit block, and adaptor problem in 1 each. Early complications after pacemaker implantation were wound infection (4), postoperative lung poroblems(4), chylothorax (2), septicemia(2), postpericardiotomy syndrome(2). Four patients died of underlying cardiac defects in 3 and unknown cause in 1. Our results reveal that pacemaker implantation using epicardial approach is still good method in spite of minor complications. |
| Key Words:
Permanent cardiac pacemaker, Children |
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