[17th part: Transvenous pacemaker implantation in corrected Fallot tetralogy with heart failure].

Implantation of transvenous pacemaker leads can be particularly--and unexpectedly--difficult in patients with corrected congenital heart disease. If the operation has been performed a long time ago, there are frequently no more reports about the exact intervention available. The present case illustrates the importance of the ECG and fluoroscopy during implantation in complex congenital heart disease.