Demonstrates the feasibility of emergency epicardial pacing and permanent pacemaker insertion in an extremely premature, low-birth-weight infant with congenital complete heart block and hydrops.
May inform rare congenital heart block cases in extremely low-birth-weight infants; leaves open generalizability and optimal strategies.
A preterm 29-week gestation baby was delivered because of gross foetal hydrops secondary to congenital complete heart block. Despite a poor prognosis, she survived stabilisation and received emergency epicardial pacing followed by permanent pacemaker insertion on day 13, weighing 1.2 kg.
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Beake et al. (2014) studied this question.
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