Conversation: The conversation between human and AI assistant.
[|Human|] dear sir,  my mother suffering from cough in last 10 years ago,  i have did the so many tests, 2d echo, ecgs, chest x rays, blood tests, sinusitis tests.  but does not the catch the problem.   So i had use so many antiboitics, so many medicines but not controlled.   Recently  i had did the again total tests.  Now test results is mild bilitarial maxilury sinusities and heart is enlarged and hole in heart.  Then i consult the ent doctors his says  maxilury sinusities is not a problem to related cough.   So   i have question the hole in heart  related to cough?  please answer.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Yes, hole in heart can cause cough and breathing difficulty. Hole in heart is mostly due to Ventricular Septal Defect (VSD). In this type of defect, there is mixing of blood from two (left and right) ventricles. Due to this there is back pressure in lungs which is causing Pulmonary hypertension and Pulmonary edema. So better to get done fresh 2 d echo and CT Pulmonary angiography to rule out these complications. If defect is large then surgical repair is the only option. Diuretic and other cardiac supportive Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.