Temporary pacing through umbilical venous route for neonatal heart failure due to complete atrioventricular block

Pacing Clin Electrophysiol. 2024 Apr 9. doi: 10.1111/pace.14986. Online ahead of print.

Abstract

We present a case of a neonate who presented with worsening heart failure due to congenital complete atrioventricular (AV) block, secondary to maternal anti Ro/SSA and anti-LA/SSB antibodies. The patient was implanted a temporary pacemaker in view of hemodynamic deterioration and subsequently was weaned off ionotropic support and referred for permanent epicardial pacemaker implantation. We report temporary pacemaker implantation in a neonate with hemodynamic instability as a stabilizing measure and discuss technical challenges for the same.

Keywords: antibodies; neonate; temporary pacing; umbilical vein.

Publication types

  • Case Reports