The current data around this patient suggests a small VSD with mild to moderate 'pulmonary artery hypertension' and we would require more information around his failure to thrive. Request social worker to send us more information to figure out if the child's failure to thrive is due to the small VSD or due to some other reason.
best wishes,
ArogyaUDHC team
PS: Rakesh Biswas is morally and legally responsible for this suggestion and ArogyaUDHC team is working under the hypothesis that informational support (such as this) for the patient and local physician is likely to be beneficial toward achieving better health outcomes."