,In the explore ward, she was noted to be in mild respiratory distress and has some signs and symptoms of heart failure and had a prominent murmur, so an echo was done at bedside, which did show a moderately-sized patent ductus arteriosus and very small VSD and some mild signs and symptoms of congestive heart failure. 
,In the explore ward , she was noted to be in mild respiratory distress and has some signs and symptoms of heart failure and had a prominent murmur , so an echo was done at bedside , which did show a moderately - sized patent ductus arteriosus and very small VSD and some mild signs and symptoms of congestive heart failure .