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KMID : 0438520120190040275
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Journal of the Korean Society of Neonatology
2012 Volume.19 No. 4 p.275 ~ p.279
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A Case of Pacemaker Implantation in Premature Newborn with Congenital Complete Atrioventricular Block
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Baek Sang-Hun
Ahn So-Yoon
Lee Myung-Sook
Han Young-Mi
Sung Se-In
Yoo Hye-Soo
Kim Eun-Sun
Park Won-Soon
Jun Tae-Gook
Huh June
Kang I-Seok
Chang Yun-Sil
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Abstract
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The congenital complete atrioventricular block(CCAVB) is a rare disease, which is the most serious complication of neonatal lupus erythematosus. Newborn with CCAVB are at risk of diminished cardiac output and the subsequent development of congestive heart failure. Transplacental steroid and β-adrenergic agonist therapies are useful for the first and second degree atrioventricular block. But those therapies are usually not effective for complete atrioventricular block. If the fetus has a complete atrioventricular block, delivery should be considered unless other delivery contraindications. In this situation, early pacemaker implantation surgery can improve the survival rate of patients. We report one case of premature newborn with congenital complete atrioventricular block who is successfully recovered by pacemaker implantation.
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KEYWORD
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Complete atrioventricular block, Pacemaker, Prematurity, Neonatal lupus erythematosus
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