# Leadless Pacemaker Implantation in Severe Kyphosis: Challenging Implantation for Tortuous IVC and Narrow RA

## TL;DR

This paper describes a successful leadless pacemaker implantation in a patient with complex heart and vein anatomy.

## Contribution

The study presents a novel case of successful leadless pacemaker implantation in a challenging anatomical scenario.

## Key findings

- A leadless pacemaker was successfully implanted in a patient with a tortuous inferior vena cava.
- The implantation was achieved despite a narrow right atrium.
- The case demonstrates feasibility in complex anatomical conditions.

## Abstract

Leadless pacemaker implantation is recognized as safe and effective for treating bradycardia. However, there are limited descriptions of its use in patients with complex anatomical considerations. Here, we present a case detailing the successful implantation of a leadless pacemaker with a tortuous inferior vena cava and a narrow right atrium.