Conversation: The conversation between human and AI assistant.
[|Human|] sir my mother is of 6o to 7o years old and she was diagnosed that she had hole in heart in 2001 at karachi in pakistan and she was informed that at the moment cardio angiografy was very hihgh risky  since then her problem persisted so sir may i know any possible way to have a better treatment for her large asd left to right shunt
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Your mother is having atrial septal defect (ASD) with left to right shunt. Surgical correction of septal defect is needed in her case. But we should first find out the exact size and severity of this defect. For this consult cardiologist and get done detailed 2d echo study. If defect is more than 4 cm than consult cardiothoracic surgeon and discuss surgical repair of this defect. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.