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Altitude and Hole in heart

My daugther is almost 16 and is keen to go on a world challenge expedition to Nepal
She has a moderate ASD and small VSD and was signed off from hospital vistis just over 4 1/2 years ago - next check up is due  in about 8 months time
She is very active and sporty and has had no problems since she was 8 years old
Her planned trip to Nepal will take place in 2011 and she will be sleeping at 2500 Meters and potentially treking up to a maximum of 5000 meters.  

She is desperate to go so please could you advise if there will be any issues likely to prevent her involvement?
There is a comprehensive medical back up

Many thanks

Louise
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