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The long-term effects are left sided chamber dilation, as is the case with PDAs (post-tricuspid shunts) VSDs can be associated with acquired RVOTO, double chamber right ventricle, LVOTO/sub aortic membrane formation, and aortic regurgitation from aortic valve prolapse

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doi: 10.3389/fendo.2025.1605746 Received 03 April 2025 Accepted 20 June 2025 Published 07 July 2025 Corrected 15 August 2025 Volume 16 - 2025 Edited by Tatsuya Sato, Sapporo Medical University, Japan Reviewed by Nina Japundzic-Zigon, University of Belgrade, Serbia Jennifer E