Conversation: The conversation between human and AI assistant.
[|Human|] My wife has been diagnosed with congenital hole in the heart at this old age of 65 years.  When 2D-Echo has been conducted in two different corporate hospitals with an interval of 1 year 8 months has recorded as 1.1 cm and 1.3 cm respectively.  Angiogram revealed no coronary blocks. Whether she can pull on for some more years without opting for closing device?  If it is not closed what would be future complications?She is high B.P. (only marginal) for which she is taking medicine. Only problem is she cant walk at a brisk pace.Thanks for the advice.
[|AI|]  Thanks for posting your query here. There are different kinds of holes in heart. But at this age, the most common hole is ASD which is a hole between the upper chambers of the heart. Now coming to the treatment, I would advise you to immediately see a cardiologist and get a detailed echo to see if it is still closeable! But if there is any doubt, then she might need a right heart catheterization to see the closeable. Because by this age many of the ASD would have caused irreversible damage to the lung vessels and if the hole is closed without proper evaluation for this lung vessel damage then closure of the ASD can do more harm than good. And if it has not caused that damage, then it must be closed either percutaneous with a device or by open-heart surgery, otherwise it would permanently damage the lung vessels. I hope this information would be of help to you. All the best.