A child with VSD presents with development of cyanosis because of Eisenmenger physiology.What is the correct sequence of events which leads to this change

• A. Left to right shunt,pulmonary hypertension,right ventricular hypertrophy,right to left shunt
• B. Left to right shunt,right ventricular hypertrophy,pulmonary hypertension,right to left shunt
• C. Pulmonary hypertension,right to left shunt right ventricular hypertrophy,left to right shunt
• D. Left to right shunt,right ventricular hypertrophy,right to left shunt,pulmonary hypertension