A patient of moderate VSD in chronic CCF develops clubbing with no cyanosis. Diagnosis
Mild to moderate VSD there are minimal symptoms . VSD is the commonest congenital lesion complicated by infective endocarditis. Ref :pg 417 Ghai pediatrics. Eighth edition
Shunt reversal
Long standing pulmonary edema
SABE
Pulmonary aery hypeension
C.V.S