<prompt> A patient of VSD in CCF develops clubbing with no cyanosis diagnosis is -Right to left shuntLeft to right shuntSubacute bacterial EndocarditisPulm. edema  <response>: Ans. is c i.e., i.e., Subacute bacterial endocarditis Clubbing in a patient with VSD suggest infective endocarditis. Course and complications of VSD 70 to 80 of all VSD become smaller in size or disappear entirely -- Spontaneous closure of VSD. Common complications of VSD are : - 1 Pulmonary hypeension 2 CHF 3Infective endocarditis VSD is the commonest CHD complicated by infective endocarditis. 4 Aoic regurgitation. 