International Journal of Pediatrics
Congenital heart block (CHB) is a rare disorder that has high morbidity and mortality especially when associated with structural congenital heart defects and is usually undiagnosed. It is important to have a high index of suspicion for early diagnosis and as well as an aggressive therapeutic approach when appropriate. We report a case of a term, small-for-gestational-age female neonate who had complete congenital heart block associated with congenital heart defect complicated by congestive cardiac failure. This highlights challenges in early diagnosis and prompt management of complex CHB in a low resource setting and the importance of quality antenatal care and proper screening for early antenatal diagnosis and planned perinatal and early postnatal management when appropriate in order to optimize outcome.