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A 6-month-old with a large perimembranous VSD presents with failure to thrive, tachypnea, and hepatomegaly despite maximal medical therapy. Pulmonary vascular resistance is 3 Wood units·m². The most appropriate management is:
Continued medical therapy and reassessment at 2 years
Pulmonary artery banding
Surgical VSD closure
Transcatheter device closure
Reveal Answer
Correct Answer:
Surgical VSD closure
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