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 |
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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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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. 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This is the first report of extended transesophageal atrial pacing complementing Doppler echocardiography predicting an improved outcome with permanent atrial pacing.</description><subject>Arrhythmia, Sinus - congenital</subject><subject>Arrhythmia, Sinus - diagnostic imaging</subject><subject>Arrhythmia, Sinus - therapy</subject><subject>Blood Flow Velocity</subject><subject>Cardiac Catheterization</subject><subject>Cardiac Pacing, Artificial - methods</subject><subject>Echocardiography, Doppler</subject><subject>Esophagus</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Atria</subject><subject>Heart Rate</subject><subject>Heart Ventricles - abnormalities</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Humans</subject><subject>Infant, Newborn</subject><issn>0172-0643</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1vFDEMhiMEotvCkSvKidsUJ_MZbqjlS6rEBc4jN3F2gmaTkGSA_XP8NtJuD_Rky37sV_bL2CsBlwJgfJsBZDcoBdB1wxO2E10rG6FG8ZTtQIyygaFrz9h5zj8AYIKpf87O6uSkZA879vc6xLhS4qSXoDEZF_YJ43Lkv11ZOP0p5A0ZXhL6TDnEBfeEK8eSXA0RtfP7dzwmMk6XmvOyECdrnUZ95MHySOmAnnx5PMOdv0cjFnfXvJdDng-4rnwlW_ivWk5Or8TRG56d3zL3wRA3x2w3X9WCf8GeWVwzvXyIF-z7xw_frj43N18_fbl6f9NoOanSjF1r-_ZWtnLqwBihkAbVgdZSQdtLK9U0DQqBLBpBvewlKCHq97BvVTfa9oK9Oe2NKfzcKJf54LKmda2XhS3Pg6pf7kFVsDmBOoWcE9k5JnfAdJwFzHeGzY8Mq_zrh8Xb7YHMf_TJofYf-2GUiA</recordid><startdate>199905</startdate><enddate>199905</enddate><creator>Liske, M R</creator><creator>Duffy, C E</creator><creator>Gidding, S S</creator><creator>Rocchini, A P</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199905</creationdate><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</title><author>Liske, M R ; Duffy, C E ; Gidding, S S ; Rocchini, A P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c289t-743f53b232840dd19ae6940cc290352f298869a0efad1e52520911172a53947f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Arrhythmia, Sinus - congenital</topic><topic>Arrhythmia, Sinus - diagnostic imaging</topic><topic>Arrhythmia, Sinus - therapy</topic><topic>Blood Flow Velocity</topic><topic>Cardiac Catheterization</topic><topic>Cardiac Pacing, Artificial - methods</topic><topic>Echocardiography, Doppler</topic><topic>Esophagus</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Atria</topic><topic>Heart Rate</topic><topic>Heart Ventricles - abnormalities</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Humans</topic><topic>Infant, Newborn</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liske, M R</creatorcontrib><creatorcontrib>Duffy, C E</creatorcontrib><creatorcontrib>Gidding, S S</creatorcontrib><creatorcontrib>Rocchini, A P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liske, M R</au><au>Duffy, C E</au><au>Gidding, S S</au><au>Rocchini, A P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Pediatric cardiology</jtitle><addtitle>Pediatr Cardiol</addtitle><date>1999-05</date><risdate>1999</risdate><volume>20</volume><issue>3</issue><spage>218</spage><epage>220</epage><pages>218-220</pages><issn>0172-0643</issn><eissn>1432-1971</eissn><abstract>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. 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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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