Double Jeopardy: Truncus Arteriosus with Obstructed Infracardiac Total Anomalous Pulmonary Venous Connection

Truncus arteriosus (TA) is a congenital cyanotic heart disease with admixture physiology at the great arterial level.It can Nigeria: Positioning Rural Economy for Implementation of Sustainable Development Goals have associated anomalies of the pulmonary arteries, truncal valve narrowing, etc., Total pulmonary venous anomalous drainage associated with TA is extremely rare.We report a sick young Mass Balance of Cenozoic Andes-Amazon Source to Sink System—Marañón Basin, Peru infant who presented with type I TA and obstructed infracardiac total anomalous pulmonary venous return.