Leadless pacemaker placement in a pediatric tetralogy of Fallot patient with previous transcatheter valve replacement

Pediatric patients with congenital heart disease (CHD) are at risk for heart block. Pediatric patients in need of pacemaker therapy pose a unique challenge to providers. Given increased growth rates and activity level, in addition to smaller anatomy for more difficult placement of either epicardial,...

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Bibliographic Details
Published in:Journal of electrocardiology 2019-09, Vol.56, p.52-54
Main Authors: McGill, Mark, Roukoz, Henri, Jimenez, Erick, Erickson, Kari, Dorostkar, Parvin, Cortez, Daniel
Format: Article
Language:English
Subjects:
Cardiovascular
Cardiovascular disease
Congenital diseases
Pediatrics
Transplants & implants
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Summary:Pediatric patients with congenital heart disease (CHD) are at risk for heart block. Pediatric patients in need of pacemaker therapy pose a unique challenge to providers. Given increased growth rates and activity level, in addition to smaller anatomy for more difficult placement of either epicardial, or transvenous leads, pediatric pacemakers have a high incidence of lead failures. With the recent introduction of a leadless implantable pacemaker approved for adult use to limit complications related to the pacemaker pocket and epicardial or transvenous leads, discussions may now be had regarding the optimal pacing strategy, epicardial, transvenous, and event leadless, or pediatric patients with CHD. A 14 year-old male with Tetralogy of Fallot with history of transannular patch at 6 months of age and transcatheter pulmonary valve at 12 years of age is also offered.
ISSN:0022-0736
1532-8430
DOI:10.1016/j.jelectrocard.2019.06.017