Published in: 01-03-2013 | Case Report Azygos Approach for Pacemaker Placement in an Infant Authors: Juan-Miguel Gil-Jaurena, Rafael Castillo, Esteban Sarria Published in: Pediatric Cardiology | Issue 3/2013 Login to get access Abstract A pacemaker insertion through the azygos vein in a child is presented. When both the low weight of the child and mediastinitis precluded standard approaches, the azygos approach proved to be an alternative and a straightforward bailout solution.