 This two months old baby was referred to us with breathing issues. This child was apparently fine in initial three to four weeks of life. His baby was born as the fourth child of the family. In initial three to four weeks they didn't notice anything. He was feeding good and everything. But slowly then they started noticing that he's breathing a little faster. Also that his feeding was becoming little difficult, excessive sweating. When they went to the pediatrician, he picked up a murmur so with which he referred the child for an echocardiography. When the echocardiography was done, they picked up a very, very rare diagnosis which we call it as supravalveriotic stenosis and supravalver pulmonary stenosis. In simple words it means that both the major two arteries which leave the heart one taking blood to the body and the other one taking blood to the lungs both had obstruction. You generally see obstruction of either one artery on this side or the other artery. Combination of both coming so early as a congenital or a birth related problem is extremely rare. My son was not well. I came to see the doctor. My son had a heart problem. When I saw my family doctor, the doctor said that my son had a heart problem. I came here to Manipal and checked up. I met Indian doctor. This child was referred to us for an opinion and if required an operation. When we examined the child, the child was looking sick. We can make out that child was breathing fast and mother was quite worried that he was not feeling very well. An echo which was repeated with us also showed more or less the same findings but what was worrying to us was the right side of the heart which pumps to the lung that ventricle which pumps was quite dysfunctional, quite significantly, quite severely it was dysfunctional. So that made us worry in the sense we can't sit on this child only with the medications to make the child better. So we decided that we should go ahead and relieve these obstructions. So we went ahead and did this surgery wherein we released the obstruction of the right side as well as the left side. The operation took around 4 or 5 hours. This operation was quite complex because we had to make the blood flow comfortably without any obstruction in both the blood vessels. Pulmonary artery as well as the aorta. Obviously these are open at surgeries which was done in the heart of the machine. When we looked at the pulmonary artery we thought probably we will leave that first. We opened the pulmonary artery. The valve was normal but the entire main pulmonary artery and the artery which goes to the right were thickened and small. Also the mouth of the left was small so we had to cut open that and we used a piece of pericardium which is nothing but the outer covering of the heart to widen this area very well. Once that was widened we came back to widening the aorta which is the main artery which again was quite narrow. We had to cut it open into two places and we used the same piece of pericardium and widened that by a technique what is known as Dottie's Technique. And subsequently child was kept in the ventilator for 3 or 4 days. We did give one chance of extubation to the child but child did not operate that we had to get him putting back on the ventilator and subsequently we got him out and then there was no turning back. At function improved we could get off the medications and all that. Later the recovery was quite smooth. Yes, we used to call the doctor many times to see what would happen to the child and we were very tensed that the doctor thought there was nothing to do but we tried to do our best. There is everything in the hands of God. Later we trusted him and later we tried to cure him. There is no tension at all. We have sent the child safely. There is no problem. Manipal Hospital is very good in the hands of good maintenance. I thank God that many times I thank Manipal Hospital for their support. Child came out well, remained stable, improved slowly but gradually and eventually we could get the child off all the medications and everything and we could discharge him by end of 2 weeks. We are very happy that these things have gone so well for the child and we wish him all the best.