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Pacing in Preterm with Hydrops Fetalis due to Congenital Complete Heart Block

Division of Pediatric Cardiology, Department of Pediatrics
¹ Division of Cardiovascular-thoracic Surgery, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University Bangkok, Thailand

For reprint information contact: Anant Khositseth, MD Tel: 66 22 011 685 Fax: 66 22 011 850 Email: alaks{at}diamond.mahidol.ac.th, Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok 10400, Thailand.

Hydrops fetalis due to congenital complete heart block (CCHB) is a rare condition. The outcome of the preterm fetus with hydrops fetalis due to CCHB is poor, and is frequently associated with significant morbidity and mortality. The management of this condition is difficult. We report our experience in a hydropic preterm using staged pacing by applying left ventricular epicardial pacing with a temporary pacemaker and subsequently, left ventricular epicardial pacing with a permanent pacemaker.

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