Moebius syndrome with Taussig-Bing anomaly

We report a 6 years old male child, presented with difficulty in swallowing, crying and smiling from early infancy and recurrent episodes of cyanosis on exertion for about 2 years. He had facial dysmorphism, clubbing and polydactyly and right sided lower motor neuron type of facial nerve palsy. On examination and relevant investigations findings were consistent with Moebius syndrome and Taussig-Bing anomaly. Moebius syndrome comprises of congenital facial nerve palsy with or without palsy of the other cranial nerves and the associated organ system malformations. Taussig-Bing anomaly is a rare congenital heart malformation consisting of a transposed aorta, a large pulmonary artery which arises primarily from the right ventricle and ventricular septal defect. Simultaneous occurrence of Moebius syndrome and Taussig-Bing anomaly has not yet been reported in the past.