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Hereby, we describe the particularly complex neonatological management of a late-preterm newborn presenting with upcoming episodes of cardiac arrythmias, requiring advanced resuscitation maneuvers and refractory to pharmacological and electrical cardioversion, in addition to multiorgan dysfunction, which led the patient to be transferred to the Pediatric Cardiology Reference Center of our region (Sicily, Italy), where he died due to cardiocirculatory failure two days later

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