PEDIATRICS Vol. 37 No. 2 February 1966, pp. 323-328
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IMPLANTATION OF CHARDACK-GREATBATCH ADJUSTABLE RATE AND CURRENT PACEMAKER IN A 4-MONTH-OLD INFANT

Marie Vitória Martin M.D.1, Adauto Barbosa Lime M.D.1, Cyro S. Almeida M.D.1, Pedro Geretto M.D.1, Renato Del Nero M.D.1, Jose Monfort M.D.1, Rubens de G. Santos M.D.1, and Hugo J. Felipozzi M.D.1

1 Instituto de Cardiologia Sabbado D'Angelo, São Paulo, Brasil, Santa Casa de Misericórdia de São Paulo, Divisions of Thoracic Surgery and Pediatrics

The implantation of a definitive pacemaker in a 4-month, 11-day-old infant with congenital heart block, has been described. Following her first syncopal episode, signs of heart failure became increasingly worse and after unsuccessful hospital clinical treatment for one month the Chardack-Greatbatch adjustable rate and current pace maker was implanted, with a heart rate settled at 100, or slightly below the P-wave rate of the baby.

There was rapid improvement of the signs of heart failure, with beginning of weight gain and discontinuation of diuretics. She was discharged on the thirteenth postoperative day and the follow-up examination 3 weeks after the operation disclosed a baby with good color and a heart rate of 100, gaining weight, and without signs of heart failure. In spite of these encouraging results, it is realized that a much longer period will be required to establish the success of this treatment.

During surgery she was suspected of having a corrected transposition of the great vessels and possibly an associated septal defect. Further investigation of her associated malformation has been deferred to a more suitable opportunity.

Submitted on November 11, 1964
Accepted on July 27, 1965




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 ANGIOLOGYHome page
J. L. Johnson and G. Kafrouni
Permanent Pacemaker Implantation in a Five- Day-Old Neonate with Complete Heart Block and Ventricular Tachycardia: A Case Report
Angiology, December 1, 1983; 34(12): 779 - 783.
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