<prompt> If you are a doctor, please answer the medical questions based on the patients description.Dear Dr, I am Raja.Age 38.height:158cm,weight:58.from Tamil nadu. I have problem Atrial septal defectASDOS.I will given my MC report , Kindly suggestion to my report. Iterpretion: 1.M-mode and Two Dimensions Echocardiography IVC- Right side, IVC drains into-Right atrium, Pulmonary Veins drains into- Left atrium, Right atriumRight ventricle-Dilated, Left Ventricle LVEd-28mm,LVEs28mm, LVEF-65-Normal, Anatomical RV with Tricuspid valve-Right side, Anatomical LV with Mitral Valve-Left side, Cleft in anterior mitral leaflet-Absent, Positions of atrio - ventricular valve annuli- Normal, Size, shape and thickness of right ventricle-Normal, Size, shape and thickness of left ventricle-Normal, Aorta-Right side and connected LV, Pulmonary artery-Anterior, left side connected to RV, Relationship of aortic and pulmonary valve planes- Perpendicular Normal, Intracardiac shunts-Medium size of ASD-OS-Type 15mm, Mitral regurgitation-Nil, Pulmonary hypertension-Nil, Ventricular dysfunction-Nil 2Doppler study: Mitral regurgitation-Nil, Valvular stenosis-Nil, Left ventricular out flow tract obstruction-Nil, Right ventricular out flow tract obstruction-Nil, Pulmonary Hypertension-Nil, Coarctation of aorta-Nil, Shunt-medium size ASD os Lt to Rt shunt 1.5:1 I consulted cardiology Doctor M.D,DNB,DM, He was suggestion to me.Not necessary close this Cole.So whats ur suggestion.pls give clear answer.I am daily going walking3 km :20mints and gym.so I am waiting ur Ans. kindly explain me about my Medical report.I must take close this cole?or?our doctor told me,this very small cole so,not necessary close And I would like to know it is necessary for me do this advance level - device closing immediately or can I do this after a year please let me know that too. If you suggest me does this in Chennai itself please let me know how much days I want to stay in hospital what will be the total cost for this? As I decided to close this device, kindly let me know before going for this Advance Level Device Close do I want to take the TEE test. so kindly refer my MC report.If any possible close this Cole.kindly give all details. if any treatment in Ayurveda medicine.kindly tell meThanks in advance  <response>: Hello, What you have is atrial septal defect osmium second type, So I will enumerate my recommendation. 1 No ayurvedic treatment will help. 2 As the right heart dimensions are normal, and you are asymptomatic, you may consider not closing the hole at present. It can be easily closed with a device, and it is a procedure without any significant risk. Generally a TEE is done before device closure to determine the exact size of defect and select an appropriate device for closure. I would suggest you should get it closed as the procedure is non-invasive safe and can prevent any future complications. The best doctor in Chennai and probably India for the same is 