A 25-year-old Cambodian lady diagnosed with pulmonary hypertension in her native country came for second opinion on the further management of her condition. She had become increasingly breathless in the last 2 years, with further deterioration from New York Heart Association (NYHA) II to III in the last few months despite starting sildenafil
therapy. She had history of congenital heart disease with cyanosis at birth and had heart operation done for “hole in the heart” at the age of 9 years in Paris, France. However,
her operation notes had been lost. After operation, she was pink and well for many years.
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