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Peer-reviewedCC BYThe Journal of Maternal-Fetal & Neonatal Medicine

Perinatal multidisciplinary management for neonates with prenatally-diagnosed congenital complete heart block undergoing early epicardial pacemaker implantation: a retrospective single-center case series

  • Huiyan Cang1
  • Guangzhi Jia1
  • Di Zhang1
  • Mingqiong Zheng2
  • Dongya Zhang1
  1. 1Department of Anesthesiology, The First Hospital of Tsinghua University, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China
  2. 2Department of Pediatrics, The First Hospital of Tsinghua University, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China
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Abstract

Objective To report our single-center multidisciplinary perinatal experience for neonates with prenatally diagnosed isolated congenital complete heart block (CCHB) requiring early epicardial pacemaker implantation.Methods This retrospective case series included four consecutive neonates with prenatally diagnosed isolated CCHB (2016–2020). A multidisciplinary team coordinated perinatal planning. Maternal data, fetal echocardiography, delivery-room resuscitation, vasoactive support, and short-term neonatal outcomes were analyzed descriptively.Results Four neonates (gestation 35 + 6–37 + 6 weeks; birth weight 2270–2500 g) were delivered by cesarean section. Umbilical vein catheterization was achieved rapidly in all. All neonates had a heart rate <50 bpm at birth and received immediate vasoactive resuscitation. All neonates underwent successful epicardial permanent pacemaker implantation within 10 days after birth with improved cardiac function and were discharged home. One infant was readmitted 8 days after discharge due to pocket infection and ultimately died on postnatal day 46.Conclusions Multidisciplinary coordination, early umbilical-vein access, and individualized vasoactive support are critical for managing these high-risk neonates. Our findings provide practical guidance but require validation in larger cohorts.

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Cite

BibTeXRIS
BibTeX
@article{cang2026perinatal,
  title = {{Perinatal multidisciplinary management for neonates with prenatally-diagnosed congenital complete heart block undergoing early epicardial pacemaker implantation: a retrospective single-center case series}},
  author = {Huiyan Cang and Guangzhi Jia and Di Zhang and Mingqiong Zheng and Dongya Zhang},
  journal = {The Journal of Maternal-Fetal \& Neonatal Medicine},
  year = {2026},
  month = nov,
  doi = {10.1080/14767058.2026.2755709},
  url = {https://doi.org/10.1080/14767058.2026.2755709},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Perinatal multidisciplinary management for neonates with prenatally-diagnosed congenital complete heart block undergoing early epicardial pacemaker implantation: a retrospective single-center case series
AU  - Huiyan Cang
AU  - Guangzhi Jia
AU  - Di Zhang
AU  - Mingqiong Zheng
AU  - Dongya Zhang
PY  - 2026
DA  - 2026/11/05
JO  - The Journal of Maternal-Fetal & Neonatal Medicine
DO  - 10.1080/14767058.2026.2755709
UR  - https://doi.org/10.1080/14767058.2026.2755709
AB  - Objective To report our single-center multidisciplinary perinatal experience for neonates with prenatally diagnosed isolated congenital complete heart block (CCHB) requiring early epicardial pacemaker implantation.Methods This retrospective case series included four consecutive neonates with prenatally diagnosed isolated CCHB (2016–2020). A multidisciplinary team coordinated perinatal planning. Maternal data, fetal echocardiography, delivery-room resuscitation, vasoactive support, and short-term neonatal outcomes were analyzed descriptively.Results Four neonates (gestation 35 + 6–37 + 6 weeks; birth weight 2270–2500 g) were delivered by cesarean section. Umbilical vein catheterization was achieved rapidly in all. All neonates had a heart rate <50 bpm at birth and received immediate vasoactive resuscitation. All neonates underwent successful epicardial permanent pacemaker implantation within 10 days after birth with improved cardiac function and were discharged home. One infant was readmitted 8 days after discharge due to pocket infection and ultimately died on postnatal day 46.Conclusions Multidisciplinary coordination, early umbilical-vein access, and individualized vasoactive support are critical for managing these high-risk neonates. Our findings provide practical guidance but require validation in larger cohorts.
SN  - 1476-4954
SN  - 1476-7058
ER  -