Giacomo Mugnai, Luca Tomasi, Stiljan Hoxha, Alessandra Cristofaletti, Bruna Bolzan, Elena Franchi, Matteo Ciuffreda, Flavio Luciano Ribichini, Giovanni Battista Luciani
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Abstract
Severe bradycardia due to advanced atrioventricular (AV) block in neonates is rare but can be life-threatening, requiring urgent pacing. In the smallest infants, transvenous pacing is not feasible, and epicardial systems remain the standard. However, the pacemaker size still remains a significant issue in these small patients. Herein, we report the case of a premature neonate with complete intrauterine atrioventricular block successfully treated with an epicardial system using a custom-designed Micra-based Pediatric implantable pulse generator (IPG) connected to a standard epicardial lead.
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