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Address for Correspondence: Ayokunle Osonuga, Department of Internal Medicine, Babcock University Teaching Hospital, Ilishan, Nigeria e-mail: e-mail: ayo.osonuga@gmail.com ORCID: orcid.org/0000-0001-8269-6846 Received: 22 December 2018 Accepted: 8 March 2019 • DOI: 10.4274/balkanmedj.galenos.2019.2018.12.48 Available at www.balkanmedicaljournal.org Cite this article as: Osonuga A, Arhin JK, Okoye GC, Da'Costa A. Possible Holt-Oram Syndrome: Missed Prenatal Diagnosis and Sub-Optimal Management in a Poor-Resourced Hospital. Balkan Med J 2019;36:192-3 1Department of Internal Medicine, Babcock University Teaching Hospital, Ilishan, Nigeria 2Department of Pediatrics, Nadowli District Hospital, Upper West Region, Ghana 3School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana 4Department of Emergency Medicine, Medway NHS Foundation Trust, Kent, United Kingdom Ayokunle Osonuga1, Jeffrey K. Arhin2, Gloria C. Okoye3, Adebayo Da’Costa4