Conversation: The conversation between human and AI assistant.
[|Human|] My mother is 62 years ,recently admitted for fever and found that she is infected with pnemontiss, during her treatment they took echo carido gram and found that she is having 25MM OSTIUM SECUNDUM ASD with LT( RT shunt-DILATED RA/RV)she is taking storvars and deplat from last three years, suggest us what kind of treatment she must undergo...
[|AI|]  Hi, This is Chat Doctor. This is pretty big hole & needs to be closed. But closing will depend on pulmonary pressures. Please send a detailed report of echo. As the chambers of heart are already dilated(RA & RV), she needs closure of this shunt. This closure(if feasible) can be done through a simple procedure & do not need major surgery. So it's better to go to a cardiologist early for further treatment, otherwise if the shunt changes direction (Rt to Lt) than her symptoms will increase. Also, it will become difficult to close the hole. Regards