Doppler echocardiography with extended transesophageal atrial pacing: predicting the efficacy of permanent atrial pacing in the patient with a small left ventricle and sinus node dysfunction.

Abstract:

:A 2100-g neonate underwent a two-ventricular surgical repair of a right ventricle-dominant unbalanced atrioventricular septal defect associated with the heterotaxy syndrome and sinus node dysfunction. Postoperative congestive heart failure persisted despite bradycardia management by temporary ventricular pacing. Spectral Doppler echocardiographic analysis of pulmonary venous inflow and aortic outflow patterns demonstrated significant improvement with transesophageal atrial pacing. Extended transesophageal pacing was performed for two days, resulting in dramatic clinical improvement. This is the first report of extended transesophageal atrial pacing complementing Doppler echocardiography predicting an improved outcome with permanent atrial pacing.

journal_name

Pediatr Cardiol

journal_title

Pediatric cardiology

authors

Liske MR,Duffy CE,Gidding SS,Rocchini AP

doi

10.1007/s002469900446

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

218-20

issue

3

eissn

0172-0643

issn

1432-1971

journal_volume

20

pub_type

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