Abstract
Pacemaker implantation for congenital complete A-V block was underwent in a six-day-old male newborn. An epicardial electrode (suture on type) was fixed on the anterior wall of the right ventricle through midsternotomy and pacemaker generator (Nova-II, Intermedics) was implanted under abdominal rectal muscle on the left upper abdomen. Reoperation was required on the postoperative 141 days because of the generator pocket infection. Staphylococcus aureus was found in this pocket. A new generator was implanted into extrapleural space and a new epicardial electorode (screw in type) was attatched to the left ventricle through left antero-lateral thoracotomy. The infected generator wsa removed, but the old epicardial electorode was remained. Twenty-two months after initial implantation, the patient developed normally at pacing rate of 100 per minutes without cardiac failure.
