A patient of moderate VSD in chronic CCF develops clubbing with no cyanosis. Diagnosis: (A) Shunt reversal, (B) Long standing pulmonary edema, (C) SABE, (D) Pulmonary aery hypeension
Answer is C. 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