Aveir retrievable, 38‐mm length, leadless pacemaker implantation in a 23‐kg pediatric patient with congenital heart disease

Introduction Complications are more prevalent in pediatric patients receiving pacemaker implants. Methods We performed a retrospective review of a retrievable, 38 mm leadless pacemaker implantation in a 23‐kg pediatric patient. Case/discussion An active 9‐year‐old, 23 kg male patient with tetralogy of Fallot with intermittent pacing need presented with a fractured lead and pacing need. He underwent implant of a retrievable leadless pacemaker (Abbott Aveir) via internal jugular vein access, without complication, and with echocardiographic guidance. His threshold was stable at 1.25 V @0.4 ms, with stable impedance and sensing at 5‐month follow‐up. Conclusion Aveir retrievable leadless pacemakers can be implanted safely in a child with tetralogy of Fallot, as small as 23 kilograms.