Abstract
Pentalogy of Fallot is cyanotic type congenital heart disease that characterized with anatomical anomalies in Tetralogy of Fallot and atrial septum defect or patent foramen ovale. That condition makes cyanosis because of diminished oxygenated blood flow to the organs. Cerebrovascular accidents like embolic stroke are very rare among children. And can occur in patient with Pentalogy of Fallot because of thrombogenicity condition. In this article we describe a 2-year-old girl came to hospital with chief complaint suddenly left-sided paralysis. She had history of uncorrected Pentalogy of Fallot since she was born. Head CT scan with contrast were obtained to identified the affected brain area. She was given an antiplatelete and there is a slight improvement of paralysis was reported. Acute management to this condition can reduce the mortality and morbidity of the patient.