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Circulation, Vol 67, 470-473, Copyright © 1983 by American Heart Association

ARTICLES

Severe pulmonary hypertension associated with a small ventricular septal defect

GS Bisset 3d and SS Hirschfeld

A case of progressive pulmonary hypertension in a child with a small ventricular septal defect is presented. Natural history studies have indicated that children with small ventricular septal defects can be followed conservatively. This case represents a contradiction to that rule and suggests that further study must be directed toward defining the etiology of pulmonary hypertension in patients with congenital heart disease.

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