Abstract
Apediatric patient suffering from Marden-Walker syndrome, arare genetic disease, was referred to the authors' hospital for syncope due to bradycardia. Since this disease is associated with severe joint contractures, atranscatheter leadless pacing system (TPS) was chosen. Despite the small body size and complex anatomy, TPS implantation was feasible, demonstrating that it is asafe alternative in difficult venous access compared to aconventional pacemaker with increased risk of lead complications in these patients.
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