Hello doctor, I am a 26 year male. I have done echo and tee test. The result is ACHD, SS, LC, 30x28 mm OS ASD~2:1 L-->R SHUNT, PV AND IVC rim not clear, good BV function, mild PAH, no HF, SR and FCI. Cardiology doctor suggested open heart surgery for correction of ASD and another doctor said that catheter procedure is not suitable for my ASD. Is it a dangerous situation? Is surgery needed? What if it is not cured? I have a chronic cough for the last six months. The respiratory doctor said that it is an allergic symptom. Is there any connection between cough and OS ASD? I am so worried. I request that you please reply and give me proper advise.
Hello. I have gone through the reports (attachment removed to protect patient identity). And from the reports, ASD (atrial septal defect) surgical closure is advised. Device closure is not suitable as rims are inadequate to hold the device and chances of device slipping are more. So, you should undergo surgery and it is a must.  If surgery is not done, then there would occur irreversible damage to heart and lungs which has not yet occurred. It is not an emergency, maybe within the next six months, you may have it. Your respiratory symptoms are likely related to ASD only, due to increased pulmonary blood flow. You should get prescribed diuretics like tablet Dytor plus (Torasemide and Spironolactone) 10/25 mg to be taken at morning 8 AM from your specialist which hopefully will resolve your respiratory problem. This medicine should be taken until surgery. For more information consult a cardiologist online -->