title: Permanent pacemaker lead implantation via the transhepatic route.
abstract: A 4-year-old male with transposition of the great arteries, status post-Senning repair, required placement of an atrial pacemaker for sinus node dysfunction and atrial flutter. Multiple systemic venous occlusions precluded conventional transvenous lead implantation. A transhepatic approach resulted in successful placement of an endocardial atrial pacing lead.
authors.affiliation: Division of Pediatric Cardiology, Mount Sinai Hospital, Mount Sinai Medical School, New York, New York, USA.
authors.forename: S B
authors.initials: SB
authors.lastname: Fishberger
authors.forename: J
authors.initials: J
authors.lastname: Camunas
authors.forename: H
authors.initials: H
authors.lastname: Rodriguez-Fernandez
authors.forename: R J
authors.initials: RJ
authors.lastname: Sommer
mesh_terms: D001146:Arrhythmia, Sinus / Q000150:complications / Q000628:therapy; D001145:Arrhythmias, Cardiac / Q000150:complications / Q000628:therapy; D001282:Atrial Flutter / Q000150:complications / Q000628:therapy; D006328:Cardiac Catheterization / Q000379:methods; D002675:Child, Preschool; D004567:Electrodes, Implanted; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D014188:Transposition of Great Vessels / Q000150:complications