Temporary Transvenous Atrioventricular Synchronous Pacing Using a Single Lead in a Pediatric Patient.

Key Teaching Points•Temporary transvenous pacing may be required for patients with hemodynamically significant bradycardia.•Different modes of temporary transvenous pacing exist and the chosen approach should be tailored to the specific patient needs as best as possible.•Pediatric patients with and without structural heart disease represent a unique challenge when considering temporary transvenous pacing.•Temporary transvenous pacing with a VDD lead is possible and safe in small patients. •Temporary transvenous pacing may be required for patients with hemodynamically significant bradycardia.•Different modes of temporary transvenous pacing exist and the chosen approach should be tailored to the specific patient needs as best as possible.•Pediatric patients with and without structural heart disease represent a unique challenge when considering temporary transvenous pacing.•Temporary transvenous pacing with a VDD lead is possible and safe in small patients.