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Laryngotracheoesophageal cleft (LTEC) is a uncommon congenital malformation of the posterior part of the larynx, creating an abnormal communication between the laryngotracheal axis and the pharyngo- oesophageal axis. Tins condition manifest with non-specific respiratory symptoms, posing diagnostic challenge. Here we report a case of 75 days old infant with recurrent pneumonia and acute life threatening event manifested as milk aspiration. On endoscopic evaluation type 1 LTEC (Laryngeo trachea esophageal cleft) was diagnosed. Intervention/Outcome : Infant was managed conservatively and doing well on follow up.