Abstract
The case of a 29-year-old patient with Mustard repair for D-Transposition of the Great Arteries and previous trans-venous pacing lead implant who underwent successful lead extraction is reported. Due to obstructed superior caval baffle, right internal jugular approach was used for bridge balloon positioning. Unusual anatomies, both related to repaired congenital heart disease and/or systemic venous occlusion, may require alternative ways for balloon bridge positioning.
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