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25 years follow up of pacing in a toddler
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In 1977, a 30 month old female child with congenital complete heart block and recurrent Stokes Adams attacks underwent single chamber (VVI) permanent pacemaker implantation in the anterior abdominal wall with tunnelled epicardial pacing lead. Due to local infection the pacing system had to be removed and the lead cut (abdominal lead 3, panel A). The next site chosen for placement …