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The condition is related to a few heart defects, as well as the procedure varies based on the structure associated with the heart, but treatment methods are nearly always palliative. In this paper, we described one person patient with DILV and severe left AV (atrioventricular device) stenosis that is handled with a novel palliative intervention; it means AFR (atrial flow regulator) device implantation for the first time.Anesthetic management for customers with specific neuromuscular condi