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Rescue Leadless Pacemaker Implantation in a PacemakerDependent Patient with Congenital Heart Disease and no Alternative Routes for Pacing

Congenital heart disease patients are considered a unique group of patients regarding their high risk of conduction abnormalities , whether de novo or surgically induced , and the challenges in both implantation and management of device related complications. We present a case of a pacemaker-dependent patient with congenital heart disease who experienced complications of both previous epicardial and transvenous pacing which rendered her a non-suitable candidate of both routes.

Credits: Mohamed Sanhoury, Gaetano Fassini, Fabrizio Tundo, Massimo Moltrasio, Valentina Ribatti, Giuseppe Lumia, Flavia Nicoli, Elisabetta Mancini, Annalisa Filtz, Claudio Tondo