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J Thorac Cardiovasc Surg 2007;134:515-516
© 2007 The American Association for Thoracic Surgery

Brief Communication

The utility and safety of temporary pacing wires in postoperative patients with congenital heart disease

^a Section of Pediatric Cardiology, FLENI Institute, Buenos Aires, Argentina
^b Division of Pediatrics, Section of Pediatric Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio
^c Division of Pediatrics, Section of Pediatric Cardiology, Duke University, Durham, NC
^d Division of Pediatrics, Section of Pediatric Cardiology, Yale University School of Medicine, New Haven, Conn
^e Division of Pediatrics, Section of Pediatric Cardiology, Ochsner Clinic Foundation, New Orleans, La
^f Section of Pediatric Cardiovascular Surgery, Connecticut Children’s Hospital, Hartford, Conn.

Received for publication November 27, 2006; revisions received January 2, 2007; accepted for publication January 8, 2007.

^_* Address for reprints: Christopher S. Snyder, MD, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, LA 70121. (Email: csnyder@ochsner.org).

The first 20% of the full text of this article appears below.

Arrhythmias constitute a common complication after cardiovascular surgery (CVS) in pediatric patients.^1-3 Pacing wires are helpful in the differentiation and treatment of supraventricular, ventricular, and sinus tachycardia. The purpose of this study was to determine (1) whether pacing wires are useful in the diagnosis and treatment of early postoperative arrhythmias, (2) whether any factors exist to predict patients who benefit from their placement, and (3) the complications associated with their placement, use, or removal.

Clinical Summary

A single-center, institutional review board–approved, prospective observational study was performed. Inclusion criteria were as follows: patient age of less than 18 years and CVS between September 2000 and March 2003. Exclusion criteria were a patent ductus arteriosus ligation or coarctation of the aorta repair because wires were not placed. Data collected included cardiopulmonary bypass (CPB) and aortic crossclamp (AXC) times, pacing wire placement and location, use of pacing wires, and complications. Before chest tube removal and . . . [Full Text of this Article]

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