Preliminary study of individualized therapy for ventricular septal defect with severe pulmonary arterial hypertension.
BACKGROUND Pulmonary arterial hypertension (PAH) is a serious complication of congenital heart disease (CHD) with a left-to-right shunt, particularly ventricular septal defect (VSD). In patients presenting with severe PAH, therapeutic decision-making remains challenging because precise and individualized assessment cri...