Implantation of Permanent Dual Chamber Pacemaker in a Pregnant Woman by Transesophageal Echocardiographic Guidance

Abstract

A 37-year-old woman complained of fatigue and dizziness because of intermittent sinus arrest and asystole up to 5.2 seconds. She was 3 months into her pregnancy and a dual chamber permanent pacemaker was implanted by transesophageal echocardiographic guidance.

Role of echocardiography in the assessment and management of adult congenital heart disease in pregnancy

“…A physiological dual chamber permanent pacemaker is more advantageous than a single chamber pacemaker, especially in pregnancy because of the increase of cardiac output. Atrial and ventricular leads positioning can be performed satisfactorily and safely by TEE guidance [106]. Cardioverter Defibrillator (ICD) implantation is also feasible in pregnant women with various cardiac diseases [107].…”

Contemporary Management of Arrhythmias During Pregnancy

“…As with ICDs, permanent pacemakers can be implanted successfully during pregnancy using low doses of radiation. 60 …”

Cardiac Interventions in Pregnant Patients without Fluoroscopy

“…Previously, these procedures were performed with the help of echocardiography [1,2,6]. Echocardiography can be useful with the aid of electrocardiographic signals; however, reliable visualization of the leads during navigation in the veins and the heart is not possible with an echocardiogram.…”