The patient: cyanosis, panic during activity. a. Echocardiographic report of Fu Wai Cardiovascular Hospital on June 5, 2008; right and left atrial internal diameters increased, right ventricular wall thickened; septum and left ventricular wall motion were not coordinated, systolic thickening rate was normal, periventricular septal membrane echogenicity interrupted about 24 mm. The relationship and development of the aorta were normal, the internal diameter of the pulmonary artery was widened, and there was no abnormality in the mid-systolic closure of the aortic arch. Diagnosis: congenital heart disease ventricular septal defect (perimembranous part) ventricular level bidirectional shunt pulmonary hypertension (moderate to severe) 2. 2. Pressure measurement: right atrium 9/7/5 (A/V/M) mmHG, right ventricle 102/-2/13 (S/D/EDP) mmHG. pulmonary artery 106/52/77 mmHG Findings: right heart catheterization suggests congenital heart disease ventricular septal defect severe pulmonary hypertension 3. June 6, 2008 x-ray diagnostic report of Fu Wai Hospital Farida + Left aortic node is not wide Pulmonary segment is mildly convex, left ventricular bulge is large Cardio-thoracic ratio: 0.5 Sildenafil (Viagra). Digoxin. I have been taking sildenafil and these drugs for three months, and the doctor said I can’t have surgery yet, but I have to take these drugs. Cardiac surgery specialist: Hello, we have seen the case, it belongs to pulmonary hypertension, right-to-left shunt, septal repair surgery can not be done. The only surgery that can be done in current medicine is combined heart-lung transplantation.