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BackgroundThe Aveir device allows retrievability and mapping prior to fixation over alternative leadless pacemakers.Case summaryWe describe the first case of Aveir leadless pacemaker implantation into a 44.5 kg, pediatric patient with symptomatic sinus dysfunction. Access by the right internal jugular vein (RIJ) with 1st attempt implantation into the septal location.DiscussionPlacement of the Aveir leadless pacemaker is feasible in a 44.5 kg pediatric patient via a RIJ approach.

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