Demonstrates the feasibility of epimyocardial pacemaker implantation in a very low-birthweight (1445 g) preterm neonate on the first day of life.
Supports individualized decisions in select preterm neonates with heart block; leaves open need for prospective safety and outcome data.
Here, we present a case involving a very low-birthweight baby (1445 g) born prematurely after 30 weeks of gestation with congenital complete heart block and low-output failure. The newborn was successfully treated by implantation of an epimyocardial pacemaker on her first day of life.
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Schnakenburg et al. (2002) studied this question.
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