Treatment Strategy for Fatal Arrhythmias in Ebstein’s Anomaly Combined With Leadless Pacemaker and S-ICD Implantations

The management of heart rhythm disorders in patients with adult congenital heart disease and limited vascular access is challenging. We present the case of a 38-year-old woman with Ebstein’s anomaly who underwent implantation of a combination of a leadless pacemaker and a subcutaneous implantable cardioverter-defibrillator to manage fatal arrhythmias. (Level of Difficulty: Intermediate.)