Official websites use .gov
A
.gov website belongs to an official
government organization in the United States.
Secure .gov websites use HTTPS
A lock (
) or https:// means you've safely
connected to the .gov website. Share sensitive
information only on official, secure websites.
Represents L/R shunt of hemodynamically relevant VSD; infants and young children not early surgically corrected, but mid-term treated by diuretics and fluid restriction develop as pictured severe cachexia because L/R shunt is favored by increased systemic vascular resistance and high oxygen consumption by compensating increased heart and breath rate and in particular of malnutrition
