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R-wave synchronised atrial pacing in post-operative junctional ectopic tachycardia using a transoesophageal pacemaker

Published online by Cambridge University Press:  31 October 2012

Andreas Entenmann ,
Katja Reineker  and
Hans-Heiner Kramer
Andreas Entenmann*
Affiliation:
Department of Congenital Heart Disease and Pediatric Cardiology, Schleswig-Holstein University Hospital, Campus Kiel, Kiel, Germany
Katja Reineker
Affiliation:
Department of Congenital Heart Disease and Pediatric Cardiology, Schleswig-Holstein University Hospital, Campus Kiel, Kiel, Germany
Hans-Heiner Kramer
Affiliation:
Department of Congenital Heart Disease and Pediatric Cardiology, Schleswig-Holstein University Hospital, Campus Kiel, Kiel, Germany
*
Correspondence to: Dr A. Entenmann, MD, Pediatric Cardiologist, Department of Congenital Heart Disease and Pediatric Cardiology, Schleswig-Holstein University Hospital, Arnold-Heller-Strasse 3, 24105 Kiel, Germany. Tel: +49 431 597 1728; Fax: +49 431 597 1828; E-mail: entenmann@pedcard.uni-kiel.de
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Abstract

We report the first case of R-wave synchronised atrial pacing using a transoesophageal pacemaker. A 3-month-old baby developed a junctional ectopic tachycardia after surgical closure of a ventricular septal defect. R-wave synchronised atrial pacing with an external pacemaker was not possible owing to dislocation of the atrial epimyocardial pacing wires. Therefore, a temporary oesophageal pacemaker was connected in series to the external pacemaker to allow transoesophageal atrial pacing triggered by the preceding ventricular actions.

Information

Type
Brief Reports
Information
Cardiology in the Young , Volume 23 , Issue 5 , October 2013 , pp. 763 - 765
Copyright
Copyright © Cambridge University Press 2012 

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