hello doctor,my nephew louai 20 days old has ASD type secondum 4mm restrective and VSD membranous sous aortic 6mm non restrective ,debit pulm/debit systemis= 1,3 doctor gave him captopril and digoxin until his appointment for echodoppler (i think ) pumonary artery dilated and heart enlarged but no pulmonary hypertension does he need surgery?, what is the pronostic and the complications : could he develope heart failure and failure to thrive and what are the best solutions , please give me some advices and explications I will be gratful
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