Intra-diaphragmatic pacemaker implantation in very low weight premature neonate

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Intra-diaphragmatic pacemaker implantation in very low weight premature neonate.

Implantation of a pacemaker (PM) in very low weight premature neonates can be a challenging procedure because of the actual dimension of generators. Ideal placement of the PM is still controversial. We describe a technique of intra-diaphragmatic PM implantation in a 1.3 kg neonate.

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eComment: Re: Intra-diaphragmatic pacemaker implantation in very low weight premature neonate.

Fig. 1. Chest roentgenogram shows the PM placed horizontally within the diaphragm muscle. On the other hand, various sites have been reported for implantation of a primary permanent PM in children. Historically , the ventricular epicardial electrodes were inserted through a left thoracotomy or sternotomy and a second incision was used to place the PM. Generators placed beneath both rectus muscl...

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Pacemaker implantation in a premature low weight newborn with critical congenital atrioventricular block.

We describe a case of a preterm newborn with congenital complete atrioventricular block (CAVB), delivered for distress by cesarean section, and undergone, at 1295 grams of weight, to permanent pacemaker implantation. The pacemaker has been inserted between the upper left rectus abdominal muscle and the posterior rectus sheath and connected by two epicardial leads on the left ventricle wall. The...

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ژورنال

عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery

سال: 2009

ISSN: 1569-9285,1569-9293

DOI: 10.1510/icvts.2009.207480