小児期ベースメーカーの植込み

概要

論文の詳細を見る
Permanent pacemaker therapy in children with complete heart block is necessary occasionally. Five patients ranging in age from 49 days to 12 years were treated with an implanted pacemaker. Indications for implantation were congestive heart failure, syncopal attacks, cardio-gegalia, brady-arrhythmia and persisting postsurgicsal heart block. There have been 15 pulse generator replacements. Problems unique to pacemaker implantation in children are ralated to the patient's size, the relative bulkiness of pulse generators, the lack of subcutaneous tissue and the child's growth and long life expectancy. Our experience proved that the placement of myocardial electrode in right ventricle and insertion of generator under the upper abdominal rectus muscle extraperioneally had been satisfactory in infants and younge children.
日本小児外科学会の論文
1983-05-20