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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: [email protected]
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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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References

1. Zampi, JD, Hirsch, JC, Gurney, JG, et al. Junctional ectopic tachycardia after infant heart surgery: incidence and outcomes. Pediatr Cardiol 2012, DOI: 10.1007/s00246-012-0348-y; published online ahead of print.Google Scholar
2. Andreasen, JB, Johnsen, SP, Ravn, HB. Junctional ectopic tachycardia after surgery for congenital heart disease in children. Intensive Care Med 2008; 34: 895–902.Google Scholar
3. Rekawek, J, Kansy, A, Miszczak-Knecht, M, et al. Risk factors for cardiac arrhythmias in children with congenital heart disease after surgical intervention in the early postoperative period. J Thorac Cardiovasc Surg 2007; 133: 900–904.Google Scholar
4. Kovacikova, L, Hakacova, N, Dovos, D, Skrak, P, Zahorec, M. Amiodarone as a first-line therapy for postoperative junctional ectopic tachycardia. Ann Thorac Surg 2009; 88: 616–623.Google Scholar
5. Till, JA, Rowland, E. Atrial pacing as an adjunct to the management of postsurgical His bundle tachycardia. Br Heart J 1991; 66: 225–229.Google Scholar
6. Janousek, J, Vojtovic, P, Gebauer, RA. Use of a modified, commercially available temporary pacemaker for R wave synchronized atrial pacing in postoperative junctional ectopic tachycardia. Pacing Clin Electrophysiol 2003; 26: 579–586.Google Scholar
7. Haas, NA, Plumpton, K, Justo, R, Jalali, H, Pohlner, P. Postoperative junctional ectopic tachycardia (JET). Z Kardiol 2004; 93: 371–380.Google Scholar
8. Guccione, P, Di Carlo, D, Papa, M, et al. Hypothermia treatment of junctional ectopic tachycardia after surgical repair of congenital heart defects. G Ital Cardiol 1990; 20: 415–418.Google Scholar
9. Janousek, J, Vojtovic, P, Chaloupecky, V, et al. Hemodynamically optimized temporary cardiac pacing after surgery for congenital heart defects. Pacing Clin Electrophysiol 2000; 23: 1250–1259.Google Scholar
10. Roth, RV, Huertas, R. Atrioventricular sequential pacing using transesophageal atrial pacing in combination with a temporary DDD pacemaker for atrial tracking and ventricular pacing. J Cardiothorac Vasc Anesth 1995; 9: 255–258.CrossRefGoogle ScholarPubMed