Conversation: The conversation between human and AI assistant.
[|Human|] I am 24 years male affected by Small muscular VSD and It shows Severe PAH I done angiogram testing for 6 months back. The whole size like 3.mm and I have severe breething trouble . should i take surgery or not ? and my body weight is 48kg Height 178cm
[|AI|]  Hi There I understand your concern for your health and I would like to tell you that as you are 24 years old so VSD is not going to close by itself now. I would like to advise you to go for an Echocardiography review once more to see if there is any shunt reversal in VSD. If still there is left to right shunt then It's advisable to go for VSD closure either by surgery or by device which ever is suitable in your case. Its also advisable that you should consult your cardiologist personally to discuss your treatment options.  I wish you good health