胎児期に診断され, 出生間もなくからペーシング療法を必要とした先天性房室ブロック4症例の検討

概要

論文の詳細を見る
Four cases with congenital atrio-ventricular block were experienced in the past 7 years. They were diagnosed prenatally and required the external pacemaking therapy within 12 hours after birth because of the cardiac failure. Two patients were able to be eventually weaned from the external, one (case 1) required the pacemaker (VDD mode) implantation at 10 months after birth because of critical bradycardia and the other (case 2) was lost to follow-up after the age 3 months. Two other patients, case 3 and 4, were unable to be weaned from external pacing and required implantation of the pacemaker (VVI mode) at 40 days and 74 days of age. Based on these experiences, we concluded that permanent pacemaker implantation during the neonatal period could be avoided because the temporary external pacing was stablely performed even in neonates with low birth weight. Median sternotomy was usefull in the young infants to select the optimal place for myocardial electrode and to implant a generator under rectus abdominis in the epigastric region.
日本小児外科学会の論文
1991-04-20