Table 1.

Timeline of the procedures

Age	Procedures
7 months	Senning procedure
6 years	Epicardial dual-chamber pacemaker implant
18 years	Transvenous pacemaker system implant
31 years	Laser lead extraction of preexisting A lead because of high threshold, new RA lead placement, and generator exchange
	Pocket evacuation of serosanguinous fluid because of drainage
32 years	Scar debridement and revision to subpectoral pocket
35 years	Abscess connecting to the device pocket. Scar debridement and revision to an intramuscular pocket
	Revision of pacemaker pocket to subpectoral location
37 years	Scar debridement of pacemaker pocket and relocation of the pocket to new subpectoral pocket location because of device migration
38 years	Removal of pacemaker generator, laser lead extraction of A and V lead, and single-chamber leadless pacemaker implant
39 years	Device system upgrade to dual-chamber leadless pacemaker