Journal of the Korean Pediatric Society 1992;35(7):933-941.
Published online July 15, 1992.
Permanent Epicardial Pacing in Pediatric Patients
I Seok Kang, Chung Il Noh, Jung Yun Choi, Yong Soo Yun
Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
소아에서의 심외막 인공심장박동기
강이석, 노정일, 최정연, 윤용수
서울대학교 의과대학 소아과학교실
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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