A patient of moderate VSD in chronic CCF develops clubbing with no cyanosis. Diagnosis
Shunt reversal
Long standing pulmonary edema
SABE
Pulmonary aery hypeension
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
C.V.S