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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.

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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