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Temporary pacing acts as an essential modality for maintaining hemodynamic stability in some life-threatening arrhythmias developed after cardiac surgery. We hereby discuss a case of partial balanced atrioventricular septal defect (AVSD) in which temporary pacemaker acted as a potential pitfall in the assessment of mitral regurgitation (MR). This case highlights the impact of pacing mode on MR severity and hence influencing perioperative decision-making after intracardiac repair.doi:10.5005/jp-journals-10034-1095 fatcat:6xhrsrjwcvhwpj3vh3liqf3lvu