<prompt> A patient of moderate VSD in chronic CCF develops clubbing with no cyanosis. DiagnosisShunt reversalLong standing pulmonary edemaSABEPulmonary aery hypeension  <response>: Mild to moderate VSD there are minimal symptoms . VSD is the commonest congenital lesion complicated by infective endocarditis. Ref :pg 417 Ghai pediatrics. Eighth edition 