Background: Permanent pacemaker implantations in pediatric patients have increased over time and presents challenges related to small patient size, complex anatomy, and limited access to cardiac chambers. Objective: to evaluate early outcome of permanent pacemaker implantation in pediatric patienst. Patients and Methods:Between 2008 and 2012, all patients required permanent pacing at Cardiology Department in National Hospital of Pediatric. Their chart have been riviewed pro- and retrospectively for indications, complications, longevity of the divice. Results: 54 patients with the mean age and weigh at the time of first pacemaker implantation were 3.9 years (1 day-13 years) and 1l.5kg (1.8-36) and followed for a median of 21.3 months (7days-52 months). Indications for high-degree atrioventricular block in 88.9 percent (postoperative 50 percent) and sinus node dysfunction in 9.2 percent. The overall complication rate was 13 percent, one of them required removal of the system and reimplantation due to erosion, one was switched from epicardial to endocardial pacing as result of lead fracture. Six patients died, but none related to pacemaker implantation. Conclusion: Pacemaker implantation in pediatric patients is genererally safe and feasible.
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