An infant, showing peripheral cyanosis, was born after lower abdominal 
peripheral caesarian section of the pregnant women having TORCH positive test 
with the infection of Toxoplasma gondiiand Cytomegalovirus. She had three 
abortions prior to this pregnancy. Doppler echocardiography of the baby showed 
profound intracardiac defects. After birth, echocardiography was carried out for 
diagnosis of associated cardiac anomalies. Doppler echocardiography showed 
pentalogy of Fallot, and the present case represents the Pentalogy of Fallot 
having pulmonary atresia. The baby's heart anomalies were ASD (Atrial Septal 
Defect - 6 mm RT to LT Shunt), VSD (Ventricular Septal Defect - bidirectional 
shunt), PDA (Patent Ductus Arteriosus - filling both the pulmonary arteries), 
and Overriding of Aorta with pulmonary atresia. In conclusion, whenever the 
diagnosis pentalogy of fallot is suspected, a multidisciplinary approach is 
essential.
KEYWORDS: Pentalogy of fallot; Overriding Aorta; Ventricular Septal Defect; 
Atrial Septal Defect; Pulmonary Atresia; Doppler Echocardiography.