Key result
Emergency trans-oesophageal ventricular pacing was successfully achieved in an 8-year-old boy with complete atrioventricular block after transvenous attempts failed.
Case Report (n=1)
Trans-oesophageal ventricular pacing can serve as a successful emergency alternative when transvenous pacing fails or causes severe complications in pediatric patients.
Hypothesis-generating for trans-oesophageal pacing in pediatric emergencies; prospective studies needed before adoption.
We report our experience with an 8-year-old boy with complete atrioventricular block and syncopal bradycardia who required urgent pacing. Each attempt to cross the tricuspid valve with a femoral lead triggered ventricular standstill, followed by fibrillation, and pacing through the coronary sinus failed. Successful ventricular pacing was finally achieved through the oesophagus, allowing subsequent implantation of a transvenous pacemaker.
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Villain et al. (2004) conducted a case report in Complete atrioventricular block and syncopal bradycardia (n=1). Trans-oesophageal ventricular pacing was evaluated on Successful ventricular pacing. Emergency trans-oesophageal ventricular pacing was successfully achieved in an 8-year-old boy with complete atrioventricular block after transvenous attempts failed.
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