{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T18:54:05Z","timestamp":1781636045058,"version":"3.54.5"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Cardiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Patients with dextro-transposition (D-TGA) of the great arteries and Senning or Mustard baffles have risk of sinus node dysfunction as well as ventricular arrhythmias. We demonstrate the implantation of a dual-chamber leadless pacemaker in a patient with a Senning baffle and symptomatic bradycardia, in the setting of a primary prevention subcutaneous internal cardioverter defibrillator (SQICD).\u00a0A retrospective review of a case of dual chamber leadless pacemaker (Aveir DR) implant was performed including atrial baffle and left ventricular septal implant.\u00a0A 41-year-old female with history of D-TGA and prior defibrillator, post-lead extraction and SQICD placement, after lead malfunction, presented with symptomatic bradycardia. She underwent a dual-chamber leadless pacemaker implant under echocardiographic guidance without complication. At 6-month follow-up, the atrial and ventricular thresholds were 0.5\u00a0V@0.2ms and 0.75\u00a0V@0.2ms, with impedances of 350 ohms, and 730 ohms, respectively, with an R-wave of 17.3milliVolts. With 99% atrial pacing, and 15% ventricular pacing, the predicted longevity was 13.0 and 18.3 years for atrial and ventricular devices, respectively. No oversensing was noted on the subcutaneous ICD. The patient noted improved activity tolerance and no further presyncope.\u00a0Successful implantation of a dual-chamber leadless pacemaker can be achieved in the LV septum of a patient with a Senning baffle and previously installed SICD.<\/jats:p>","DOI":"10.1007\/s00246-026-04183-6","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T04:28:36Z","timestamp":1770870516000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dual Chamber Aveir Retrievable Leadless Pacemaker Implant in a Patient with a Senning Baffle and Subcutaneous ICD"],"prefix":"10.1007","author":[{"given":"Charles","family":"Bingham","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Cortez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"issue":"21","key":"4183_CR1","doi-asserted-by":"publisher","first-page":"2637","DOI":"10.1161\/01.cir.103.21.2637","volume":"103","author":"JK Perloff","year":"2001","unstructured":"Perloff JK, Warnes CA (2001) Challenges posed by adults with repaired congenital heart disease. Circulation 103(21):2637\u20132643. https:\/\/doi.org\/10.1161\/01.cir.103.21.2637","journal-title":"Circulation"},{"issue":"8","key":"4183_CR2","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1161\/circulationaha.114.010770","volume":"132","author":"N Vejlstrup","year":"2015","unstructured":"Vejlstrup N, S\u00f8rensen K, Mattsson E et al (2015) Long-Term outcome of Mustard\/Senning correction for transposition of the great arteries in Sweden and Denmark. Circulation 132(8):633\u2013638. https:\/\/doi.org\/10.1161\/circulationaha.114.010770","journal-title":"Circulation"},{"issue":"4","key":"4183_CR3","doi-asserted-by":"publisher","first-page":"1433","DOI":"10.1016\/j.athoracsur.2004.04.013","volume":"79","author":"A Dodge-Khatami","year":"2005","unstructured":"Dodge-Khatami A, Kadner A, Berger MF, Dave H, Turina MI, Pr\u00eatre R (2005) In the footsteps of senning: lessons learned from atrial repair of transposition of the great arteries. 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HeartRhythm Case Rep 8(3):176\u2013179. https:\/\/doi.org\/10.1016\/j.hrcr.2021.12.001","journal-title":"HeartRhythm Case Rep"},{"issue":"8","key":"4183_CR5","doi-asserted-by":"publisher","first-page":"1746","DOI":"10.1007\/s00246-023-03241-7","volume":"44","author":"U Krause","year":"2023","unstructured":"Krause U, Teubener ST, M\u00fcller MJ, Schneider HE, Paul T (2023) Fate after the mustard procedure for D-transposition of the great arteries: impact of age, complexity, and atrial tachyarrhythmias: a single center experience. Pediatr Cardiol 44(8):1746\u20131753. https:\/\/doi.org\/10.1007\/s00246-023-03241-7","journal-title":"Pediatr Cardiol"},{"issue":"2","key":"4183_CR6","doi-asserted-by":"publisher","first-page":"102792","DOI":"10.1016\/j.jaccas.2024.102792","volume":"30","author":"DA Staloch","year":"2025","unstructured":"Staloch DA, Ibrahim R, Lloyd MS (2025) First-in-human helical-fixation leadless pacemaker in the left atrium for D-transposition with atrial switch procedure. JACC Case Rep 30(2):102792. https:\/\/doi.org\/10.1016\/j.jaccas.2024.102792","journal-title":"JACC Case Rep"},{"issue":"2","key":"4183_CR7","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.ipej.2024.01.008","volume":"24","author":"ZS Rahmat","year":"2024","unstructured":"Rahmat ZS, Cortez D (2024) Retrievable leadless pacemakers (Aveir VR) may be beneficial in adult patients with congenital heart disease. Indian Pacing Electrophysiol J 24(2):57\u201362. https:\/\/doi.org\/10.1016\/j.ipej.2024.01.008","journal-title":"Indian Pacing Electrophysiol J"},{"issue":"3","key":"4183_CR8","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1111\/jce.16173","volume":"35","author":"C English","year":"2024","unstructured":"English C, Fan D, Ing F, Cortez D (2024) Different leadless pacemakers working in harmony (Aveir in the atrium\/Micra AV2 in the ventricle) in a patient with dextrocardia and double outlet right ventricle after high-risk infected device extraction. J Cardiovasc Electrophysiol 35(3):418\u2013421. https:\/\/doi.org\/10.1111\/jce.16173","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"4","key":"4183_CR9","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1016\/j.ipej.2024.04.009","volume":"24","author":"JA Aguayo","year":"2024","unstructured":"Aguayo JA, Cortez D (2024) Atrial placement of Aveir-VR leadless pacemaker in a patient with complex cardiac anatomy. Indian Pacing Electrophysiol J 24(4):204\u2013206. https:\/\/doi.org\/10.1016\/j.ipej.2024.04.009","journal-title":"Indian Pacing Electrophysiol J"},{"issue":"6","key":"4183_CR10","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1016\/j.ipej.2024.09.001","volume":"24","author":"H How-Peng Liu","year":"2024","unstructured":"How-Peng Liu H, Cortez D (2024) Retrievable dual-chamber leadless pacemaker implant (Aveir DR) in an adult patient with congenital heart disease. Indian Pacing Electrophysiol J 24(6):347\u2013350. https:\/\/doi.org\/10.1016\/j.ipej.2024.09.001","journal-title":"Indian Pacing Electrophysiol J"},{"issue":"1","key":"4183_CR11","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.hrcr.2024.10.005","volume":"11","author":"T Tanawuttiwat","year":"2024","unstructured":"Tanawuttiwat T, Vasilottos N, Borman WA, Giro P, Das MK (2024) A dual-chamber leadless pacemaker in d-TGA patient after senning procedure. 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