Secundum Atrial Septal Defect With Early Presentation of Eisenmenger Syndrome and Right-Heart Failure Eisenmenger Syndrome, the most advanced form of Pulmonary Arterial Hypertension (PAH), poses a considerable risk to the survival and quality of life of patients. It is more commonly seen in large intra-cardiac defects like Ventricular Septal Defects (VSD) or Patent Ductus Arteriosus (PDA), and rarely in Atrial Septal Defects (ASD), but ASD usually presents In The fourth or fifth decade of life w

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