Anesthetic management of bed-to-bed surgery for epicardial pacemaker implantation in neonates with congenital complete heart block: Case report

Eva Komala Sari; Anas Alatas; Hendra Kusuma

doi:10.1177/2050313X241239525

Anesthetic management of bed-to-bed surgery for epicardial pacemaker implantation in neonates with congenital complete heart block: Case report

SAGE Open Med Case Rep. 2024 Mar 16:12:2050313X241239525. doi: 10.1177/2050313X241239525. eCollection 2024.

Authors

Eva Komala Sari^{1

2}, Anas Alatas¹, Hendra Kusuma²

Affiliations

¹ Faculty of Medicine Universitas Indonesia, Department of Anesthesiology and Intensive Therapy Dr. Cipto Mangunkusomo Central Hospital, Depok, Indonesia.
² Department of Anesthesiology and Intensive Therapy Harapan Kita Women and Children Hospital, Jakarta Barat, Jakarta Raya, Indonesia.

Abstract

Congenital complete heart block is a rare disease. Pacemaker implantation is indicated in neonates with a heart rate of less than 50 beats per minute. This case report aims to emphasize perioperative management of two cases of congenital complete heart block that underwent pacemaker implantation bed to bed after being delivered by cesarean section. Since these patients are prone to fatal cardiac decompensation and unresponsive to pharmacological therapies, it requires some measures in anesthetic management and good teamwork with other specialties.

Keywords: Congenital complete heart block; anesthesia management; pacemaker implantation.

Publication types

Case Reports