Transvenous pacing system in a 2990 gram and 47 cm long newborn via left superior vena cava to right ventricle (bipolar steroid eluting Medtronic screw in 4068-52cm) with the pulse generator (Medtronic MicroMinix 8360) in a subcutaneous left pectoral pouch (Although this operation was carried out by one of the authors (H.A.) in 1993, we are today no longer able to explain, why the generator was not implanted submuscularly in this case).