Gabriel Santana was born in São Paulo Brazil in 1988 with hypoplastic right, single ventricle, ventricular septal defect and a heart murmur. At first the doctors thought Gabriel only had a heart murmur and sent him home. After almost a year Gabriel’s condition worsened as he developed pneumonia and started experiencing fluid in the sac around his heart. What is healthcare like in Brazil? What assistance is there for children born with congenital heart defects (CHDs) in Brazil? What new challenges is this adult survivor facing now?