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Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2004;78:202-203
© 2004 The Society of Thoracic Surgeons

Invited commentary

Thierry Bove, MD, Katrien François, MD

Department of Cardiac Surgery, University Hospital of Ghent, 185, De Pintelaan, 9000 Ghent, Belgium

e-mail: thierry.bove@ugent.be
e-mail: katrien.francois@ugent.be

The first 20% of the full text of this article appears below.

Despite technologic refinements, pacing in children with congenital heart disease remains a permanent source of inconvenience. These children have the life-long possibility of pacemaker-related complications such as lead and battery dysfunction, inadequacy of vascular access, and local or even systemic infection. Moreover, owing to the anatomical barriers of specific congenital malformations, some of these children will stay dependent on an epicardial pacing system.

In this study, Cohen and coworkers advocate the prophylactic use of epicardial leads at the time of surgical repair of the congenital heart disorder in a subset of children who are at risk for later bradyarrhythmias and so later pacemaker need, to avoid an additional thoracotomy . . . [Full Text of this Article]






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