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CLINICAL DATAFemale infant; born on term with 2.6 kg, normal delivery.Mother; fourth pregnancy, denied the use of medicationduring pregnancy. Presented respiratory discomfort at birth,evolving with neonatal infection and use of antibiotictherapy for 29 days.At two months, she was referred to our Service forevaluation with use of digoxin, furosemide and captopril.After confirming the diagnostic, the therapy with betablocking agents was started with scheduled clinical follow-ups every three months, due to the absence of cardiac failure.At two years-old, there was an aggravation of thesymptoms and hypoxemic crisis, resulting in the child’sreferral to surgical treatment.The physical examination presented satisfactory generalconditions, cyanotic ++/4+, normotensive and withadequate weight and growth. The normal positioned

Defeito do septo atrioventricular associado à tetralogia de Fallot em paciente com síndrome de Down