Key result
R-wave synchronised atrial pacing using a transoesophageal pacemaker was successfully performed in a 3-month-old baby with post-operative junctional ectopic tachycardia.
Case Report (n=1)
Transoesophageal pacemakers can be used as an alternative for R-wave synchronised atrial pacing in infants with post-operative junctional ectopic tachycardia when epicardial wires are unavailable.
May offer an alternative when epicardial wires unavailable in infant post-operative JET; hypothesis-generating and should not yet change practice.
We report the first case of R-wave synchronised atrial pacing using a transoesophageal pacemaker. A 3-month-old baby developed a junctional ectopic tachycardia after surgical closure of a ventricular septal defect. R-wave synchronised atrial pacing with an external pacemaker was not possible owing to dislocation of the atrial epimyocardial pacing wires. Therefore, a temporary oesophageal pacemaker was connected in series to the external pacemaker to allow transoesophageal atrial pacing triggered by the preceding ventricular actions.
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Entenmann et al. (2012) conducted a case report in Post-operative junctional ectopic tachycardia (n=1). R-wave synchronised atrial pacing using a transoesophageal pacemaker was evaluated on Successful transoesophageal atrial pacing triggered by preceding ventricular actions. R-wave synchronised atrial pacing using a transoesophageal pacemaker was successfully performed in a 3-month-old baby with post-operative junctional ectopic tachycardia.
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