Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-06-08T21:25:00.787Z Has data issue: false hasContentIssue false

Emergency trans-oesophageal ventricular pacing in a child

Published online by Cambridge University Press:  21 January 2005

Elisabeth Villain
Affiliation:
Service de Cardiologie Pédiatrique, Hôpital Necker-Enfants Malades, Paris, France
Younes Boudjemline
Affiliation:
Service de Cardiologie Pédiatrique, Hôpital Necker-Enfants Malades, Paris, France
Damien Bonnet
Affiliation:
Service de Cardiologie Pédiatrique, Hôpital Necker-Enfants Malades, Paris, France

Abstract

We report our experience with an 8-year-old boy with complete atrioventricular block and syncopal bradycardia who required urgent pacing. Each attempt to cross the tricuspid valve with a femoral lead triggered ventricular standstill, followed by fibrillation, and pacing through the coronary sinus failed. Successful ventricular pacing was finally achieved through the oesophagus, allowing subsequent implantation of a transvenous pacemaker.

Type
Brief Report
Copyright
© 2004 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Gallagher JJ, Smith WM, Kerr CR, et al. Esophageal pacing: a diagnostic and therapeutic tool. Circulation 1982; 65: 336341.Google Scholar
Benson DW, Sanford M, Dunnigan A, Benditt DG. Transesophageal atrial pacing threshold: role of interelectrode spacing, pulse width and catheter insertion depth. Am J Cardiol 1984; 53: 6367.Google Scholar
Benson DW. Transesophageal electrocardiography and cardiac pacing: state of art. Circulation 1987; 75: III86III90.Google Scholar
Sadowski Z, Szwed H. The effectiveness of transesophageal ventricular pacing in resuscitation procedures in adults. PACE 1983; 6: A132.Google Scholar
Serwer GA, Eckerd JM, Kelly EE, Amstrong BE. Emergency ventricular pacing from the esophagus in infancy. Am J Cardiol 1986; 11: 11051106.Google Scholar
Locati EH, Maison-Blanche P, Dejode P, Cauchemez B, Coumel P. Spontaneous sequences of torsade de pointes in patients with aquired prolonged repolarization: quantitative analysis of Holter recordings. J Am Coll Cardiol 1995; 25: 15641575.Google Scholar