Doppler echocardiography with extended transesophageal atrial pacing: predicting the efficacy of permanent atrial pacing in the patient with a small left ventricle and sinus node dysfunction

A 2100-g neonate underwent a two-ventricular surgical repair of a right ventricle-dominant unbalanced atrioventricular septal defect associated with the heterotaxy syndrome and sinus node dysfunction. Postoperative congestive heart failure persisted despite bradycardia management by temporary ventri...

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Veröffentlicht in:Pediatric cardiology 1999-05, Vol.20 (3), p.218-220
Hauptverfasser: Liske, M R, Duffy, C E, Gidding, S S, Rocchini, A P
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container_title Pediatric cardiology
container_volume 20
creator Liske, M R
Duffy, C E
Gidding, S S
Rocchini, A P
description A 2100-g neonate underwent a two-ventricular surgical repair of a right ventricle-dominant unbalanced atrioventricular septal defect associated with the heterotaxy syndrome and sinus node dysfunction. Postoperative congestive heart failure persisted despite bradycardia management by temporary ventricular pacing. Spectral Doppler echocardiographic analysis of pulmonary venous inflow and aortic outflow patterns demonstrated significant improvement with transesophageal atrial pacing. Extended transesophageal pacing was performed for two days, resulting in dramatic clinical improvement. This is the first report of extended transesophageal atrial pacing complementing Doppler echocardiography predicting an improved outcome with permanent atrial pacing.
doi_str_mv 10.1007/s002469900446
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subjects Arrhythmia, Sinus - congenital
Arrhythmia, Sinus - diagnostic imaging
Arrhythmia, Sinus - therapy
Blood Flow Velocity
Cardiac Catheterization
Cardiac Pacing, Artificial - methods
Echocardiography, Doppler
Esophagus
Female
Follow-Up Studies
Heart Atria
Heart Rate
Heart Ventricles - abnormalities
Heart Ventricles - diagnostic imaging
Humans
Infant, Newborn
title Doppler echocardiography with extended transesophageal atrial pacing: predicting the efficacy of permanent atrial pacing in the patient with a small left ventricle and sinus node dysfunction
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