Image of Joey Powling Jnr, taken by Matt Tassone and shared via Instagram
Sam is discussed with the congenital cardiothoracic surgical team and it is decided that as he has persistent symptoms of congestive heart failure despite medical management he should have surgical closure of the VSD.
He underwent surgical closure of the VSD at the age of 5 months; this is an open heart surgery. Following this his symptoms resolved. His diuretics were stopped and his oral intake improved.