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Perimembranous VSD is the commonest type of ventricular septal defect noted in children. Large VSDs can be associated with heartfailure in infancy and may need surgery. Device closure is not that well established in perimembranous VSD as in case of muscular VSD.
Diagrammatic representation of VSD Eisenmenger. The other Eisenmenger syndromes are not called Eisenmenger complex, only VSD Eisenmenger is called Eisenmenger complex. Large ASDs usually develop Eisenmenger syndrome, may be after decades, not like early development of Eisenmenger syndrome in VSD and PDA.
But while compressing here in a patient with heartfailure, it can elicit pain because there could be tender hepatomegaly in patients with heartfailure. That occurs in right heartfailure and constrictive pericarditis. But in a VSD with pulmonary hypertension A wave is not prominent.
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General Cardiology 
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