Transvenous Permanent Pacemaker Implantation in 14 Month Old baby with Congenital Complete Heart Block.

ABSTRACT

Congenital Complete Heart Block in utero has been diagnosed more frequently with the clinical use of fetal echocardiography. The fetus with complete heart block may remain asymptomatic or develop congestive heart failure. Pacemaker therapy in children involves unique issues regarding patient size, growth, development and possible presence of congenital heart disease. Historically, epicardial pacing was more common in children. As technology has improved, generators and leads have become smaller and more advanced, allowing transvenous pacing system in children. Pacemaker therapy is even technically feasible in infants and neonates. We present a 14mth old baby of just 7.5kg who presented to us with Adams Stokes and subtle signs of congestive heart failure that after stabilization was implanted a transvenous MRI compatible permanent pacemaker (VVIR).