The primary objective of this study is to evaluate the patterns of catch-up growth in children following the closure of large VSDs.
• Specific Objectives:
* To measure anthropometric changes (Weight, Height/Length, and BMI) pre- and post-closure.
* To determine the time interval required to reach normal growth percentiles for age and sex.
* To identify predictors of poor growth recovery (e.g., age at intervention, baseline nutritional status, or residual shunts).