Dr. Smita Mishra, Paediatric Cardiologist, Associate Director - Jaypee Hospital, will discuss the precautions needed in patients who come late for treatment in this video. When children comes late, they might be having very high lung pressure and can go for surgery and closure of the hole in the heart. In these children, echocardiography is done more frequently and are started with pulmonary vasodilators. She will further explain how long the medications are to be continued.