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Peer-reviewedCC BY 4.0Brazilian Journal of Cardiovascular Surgery

VDD Pacemaker Implantation Without Fluoroscopy for Complete Heart Block During Pregnancy: A Case Report

  1. 1Instituto de Cardiologia do Rio Grande do Sul, Fundação Universitária de Cardiologia, Porto Alegre, Rio Grande do Sul, Brazil
  2. 2Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil

Abstract

Ionizing radiation is associated with an increased risk of malignancy, especially in fetuses. Therefore, in the rare situation of a pregnant patient in need of a pacemaker, alternatives to conventional fluoroscopy are required. We describe a case of successful implantation of a Ventricle-paced, Dual-sensing, Dual-response pacemaker without fluoroscopy in a 32-year-old female patient using electroanatomic 3D mapping. She had severe bradycardia due to complete atrioventricular block, which impeded intrauterine growth restriction in the fetus.

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BibTeX
@article{santanna2026pacemaker,
  title = {{VDD Pacemaker Implantation Without Fluoroscopy for Complete Heart Block During Pregnancy: A Case Report}},
  author = {Roberto Tofani Sant’Anna and Tiago Luiz Luz Leiria and Marco Aurélio Lumertz Saffi and João Ricardo Michielin Sant’Anna and Gustavo Glotz De Lima},
  journal = {Brazilian Journal of Cardiovascular Surgery},
  year = {2026},
  month = sep,
  doi = {10.21470/1678-9741-2025-0290},
  url = {https://doi.org/10.21470/1678-9741-2025-0290},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - VDD Pacemaker Implantation Without Fluoroscopy for Complete Heart Block During Pregnancy: A Case Report
AU  - Roberto Tofani Sant’Anna
AU  - Tiago Luiz Luz Leiria
AU  - Marco Aurélio Lumertz Saffi
AU  - João Ricardo Michielin Sant’Anna
AU  - Gustavo Glotz De Lima
PY  - 2026
DA  - 2026/09/08
JO  - Brazilian Journal of Cardiovascular Surgery
DO  - 10.21470/1678-9741-2025-0290
UR  - https://doi.org/10.21470/1678-9741-2025-0290
AB  - Ionizing radiation is associated with an increased risk of malignancy, especially in fetuses. Therefore, in the rare situation of a pregnant patient in need of a pacemaker, alternatives to conventional fluoroscopy are required. We describe a case of successful implantation of a Ventricle-paced, Dual-sensing, Dual-response pacemaker without fluoroscopy in a 32-year-old female patient using electroanatomic 3D mapping. She had severe bradycardia due to complete atrioventricular block, which impeded intrauterine growth restriction in the fetus.
SN  - 0102-7638
SN  - 1678-9741
ER  -