<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hii,My cousin is having a hole in heart. Please find the summary of his check up. Doctors are advising for surgery. Which type of surgery is suiable for him? Key hole or open heart? Is it urgent to do the surgery now?SUMMARY Large secundum ASD seen in multiple views. Measures up to 2.4 cm from superior rim to inferior rim.The left ventricular size is normal.Left ventricular systolic function is normal.The right ventricle is mild to moderately dilated.The right ventricular systolic function is normal.The left atrial size is normal.The right atrium is mildly to moderately dilated.Mild atherosclerotic plaques in the aortic arch.Mild atherosclerotic plaques in the descending aorta.FINDINGS: LEFT VENTRICLE The left ventricular size is normal. Left ventricular systolic function is normal.RIGHT VENTRICLE The right ventricle is mild to moderately dilated. The right ventricular systolic function is normal. LEFT ATRIUM The left atrial size is normal.RIGHT ATRIUM The right atrium is mildly to moderately dilated. Large secundum ASD seen in multiple views. Measures up to 2.4 cm. A secundum type atrial septal defect is present. - AORTIC VALVE The aortic valve is trileaflet. No aortic regurgitation is present. - MITRAL VALVE The mitral valve is normal in structure and function. There is no mitral regurgitation noted. - TRICUSPID VALVE Structurally normal tricuspid valve. There is trace tricuspid regurgitation. - PULMONIC VALVE Structurally normal pulmonic valve. Trace pulmonic valvular regurgitation. - ARTERIES Mild atherosclerotic plaques in the aortic arch. Mild atherosclerotic plaques in the descending aorta. - VENOUS 34 pulmonary veins were visualized draining into the left atrium. -  <response>: Hi, He is having a condition called atrial septal defectASD. It is a congenital problem and might cause many problems in adulthood. Small ASDs will close by itself. But in this case, the size is quite large and hence surgical repair may be required. Consult a cardiac surgeon, and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 