| Study | 
        Study Population  | 
        n | 
        Study Design | 
        Drug | 
        Main Findings | 
      
      
        | Galié et al. (BREATH-5), 2006 [69] | 
        Septal defects 
          >12 years | 
        37 | 
        Randomized Controlled Trial | 
        Bosentan | 
        improved exercise capacity and pulmonary hemodynamics | 
      
      
        | Gatzoulis et al. 2005 [70]  | 
        Eisenmenger 
          Adults | 
        10 | 
        Prospective open trial | 
        Bosentan | 
        improved exercise capacity, pulmonary hemodynamics and  RV systolic function | 
      
      
        | Sitbon et al., 2006 [71] | 
        ASD, VSD and Eisenmenger 
          Adults | 
        27 | 
        Retrospective analysis | 
        Bosentan | 
        improved functionnal class, exercise capacity and pulmonary    hemodynamic | 
      
      
        | Jing et al. , 2010 [72] | 
        Heart septal defects 
          Adults | 
        34 | 
        Multi-open label trial | 
        Bosentan | 
        improved functionnal class, exercise capacity and pulmonary    hemodynamic | 
      
      
        | Uhm et al. 2010 [73] | 
        post-operative (AVSD repair, Fontan) 
          Children | 
        75 | 
        Retrospective analysis | 
        Oral Sildenafil | 
        Well tolerated, no significant clinical improvement | 
      
      
        | Zeng et al., 2011 [74] | 
        AVSD, PDA 
          Adults | 
        55 | 
        Prospective Multicenter trial | 
        Oral Sildenafil | 
        improved exercise capacity and pulmonary hemodynamics without any side    effects on systemic vasculature | 
      
      
        | Schulze-Neick et al., 2003 [75]  | 
        AVSD, PDA, miscellaneous 
          Children | 
        12 | 
        Prospective trial | 
        IntravenousSildenafil | 
        more effective than inhaled NO to improve pulmonary hemodynamics;    increased post-operative intrapulmonary shunting and had no significant    clinical benefits |