Doppler echocardiography with extended transesophageal atrial pacing: Predicting the efficacy of permanent atrial pacing in the patient with a small left ventricle and sinus node dysfunction

M. R. Liske*, Catherine E Duffy, S. S. Gidding, A. P. Rocchini

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

A 2100-g neonate underwent a two-ventricular surgical repair of a right ventricle-dominant unbalanced atrioventricular septal defect associated with the heterotaxy syndrome and sinus node dysfunction. Postoperative congestive heart failure persisted despite bradycardia management by temporary ventricular pacing. Spectral Doppler echocardiographic analysis of pulmonary venous inflow and aortic outflow patterns demonstrated significant improvement with transesophageal atrial pacing. Extended transesophageal pacing was performed for two days, resulting in dramatic clinical improvement. This is the first report of extended transesophageal atrial pacing complementing Doppler echocardiography predicting an improved outcome with permanent atrial pacing.

Original languageEnglish (US)
Pages (from-to)218-220
Number of pages3
JournalPediatric cardiology
Volume20
Issue number3
DOIs
StatePublished - May 1 1999

Keywords

  • Doppler echocardiography
  • Hypoplastic ventricle
  • Transesophageal atrial pacing

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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