Imren Yildirim , Erer Dilek , Management of Pulmonary Arterial Hypertension Secondary to Ventricular Septal Defect in Adults: Role of Combination Therapy, The Cardiology, Volume 2,Issue 1, 2006, Pages 29-32, ISSN 1811-8194, tcard.2006.29.32, (https://makhillpublications.co/view-article.php?doi=tcard.2006.29.32) Abstract: Pulmonary hypertension due to left to right shunts is a challenging problem in decision making for corrective surgery. Pre-operative cardiac data evaluation with proper medication convey better outcomes in those patients. We describe a succesful combination therapy in a paient with severe pulmonary hypertension prior , during and following ventricular septal defect closure. Keywords: Pulmonary arterial;ventricular septal;combination therapy