Complete atrio-ventricular septal defect and Wolf-Parkinson-White syndrome

Complete atrio-ventricular septal defect and Wolf-Parkinson-White syndrome

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A full term female infant was born after 41 weeks of gestation, with a birth weight of Classical Normal Tension 3815g and normal Apgar scores (9-10-10).Immediately after birth tachycardia was noted.An electrocardiogram (ECG) showed a heart rate of 300 beats per minute (bpm) and narrow QRS complexes.

The newborn was clinically stable.She was admitted to the neonatal intensive care unite and an intravenous line was inserted for treatment with Adenosine.While preparing for Adenosine infusion her heart rate spontaneously decreased.

Her Butter Dish ECG at presentation with normal heart rate is shown in figure1a.On auscultation, a soft systolic murmur was heard.