Post-procedure chest X-ray.A portable anteroposterior chest x-ray was obtained after the procedure. An implantable cardioverter-defibrillator pace/sense/defibrillator lead was placed in the right ventricle septal apex where appropriate function was demonstrated. The other leads can be seen at the right atrium and the coronary venous sinus. The leads were sutured to the pectoralis muscle with a suture sleeve. Adequate hemostasis was ensured and the pocket was flushed with an antibiotic solution. The leads were connected to the generator and the system was placed into the pre-pectoral pocket. The wound was closed with layers of absorbable suture. The procedure was tolerated well and there were no complications.                  