Case
A nonspecific atrioventricular septal defect (AVSD) diagnosed at 5 months age, after cardiac arrest. Trough the years the patient showed progressive dyspnea, peripheral cyanosis, with development of heart failure and pulmonary hypertension. At 18 years, it was given the confirmation of Eisenmenger´s syndrome, with a complete AVSD. This type of AVSD, is characterized by atrial septal defect (ADS) - “ostium primum ” (Figure 1; 2); inlet ventricular septal defect (Figure 1; 2) and common atrial-ventricular valve (Figure 2;3). Nowadays, the patient is medicated to control pulmonary hypertension and cardiac failure. Congenital malformations must be diagnosed early to avoid serious complications such as heart failure and pulmonary hypertension. That´s why it´s so important to detect and study early cardiorespiratory symptoms (cyanosis; dyspnea; heart murmurs). Doctors are responsible to care and to do their best to provide quality and a possibility to life with better conditions. We must be alert.