Key result
An epicardial ventricular pacing system implanted in an infant migrated through the diaphragm into the pericardial space, highlighting a rare complication of pacemaker implantation in infants.
Case Report (n=1)
This case highlights the rare but significant risk of epicardial pacemaker pulse generator migration into the pericardial space in infants, necessitating careful monitoring.
Requires vigilant monitoring for generator migration after infant epicardial pacing; leaves open optimal techniques and true incidence.
We report the case of a 4-month-old infant who was implanted with an epicardial ventricular pacing system at 6 days of age for the prolonged QT syndrome, who subsequently developed migration of the pulse generator to the pericardial space. Tracking of the pulse generator through the diaphragm and into the pericardium followed the route of the myocardial lead. The possibility of pulse generator migration, as well as disruption of the diaphragm and pericardium, should be considered by those who care for infants with implanted pacemakers.
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Hare et al. (1994) conducted a case report in Prolonged QT syndrome (n=1). Epicardial ventricular pacing system was evaluated on Migration of the pulse generator to the pericardial space. An epicardial ventricular pacing system implanted in an infant migrated through the diaphragm into the pericardial space, highlighting a rare complication of pacemaker implantation in infants.
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