A 2 and half year old girl was referred to our hospital with an echocardiographic diagnosis of a moderate sized ventricular septal defect (VSD). The child was previously evaluated at a different center and was offered surgical closure of the VSD. However, on-table, the defect was found to be unsuitable for surgical closure. Thus chest closure was done and the child was kept on medical follow-up. She however continued to have symptoms of growth failure suggesting a need for further intervention.
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