### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear Dr, I am Raja.Age 38.height:158cm,weight:58.from Tamil nadu. I have problem Atrial septal defectASD(OS).I will given my MC report , Kindly suggestion to my report. Iterpretion: 1).M-mode and Two Dimensions Echocardiography IVC- Right side, IVC drains into-Right atrium, Pulmonary Veins drains into- Left atrium, Right atrium/Right ventricle-Dilated, Left Ventricle (LVEd-28mm,LVEs28mm, LVEF-65-Normal, Anatomical RV with Tricuspid valve-Right side, Anatomical LV with Mitral Valve-Left side, Cleft in anterior mitral leaflet-Absent, Positions of atrio - ventricular valve annuli- Normal, Size, shape and thickness of right ventricle-Normal, Size, shape and thickness of left ventricle-Normal, Aorta-Right side and connected LV, Pulmonary artery-Anterior, left side connected to RV, Relationship of aortic and pulmonary valve planes- Perpendicular+ Normal, Intracardiac shunts-Medium size of ASD-OS-Type 15mm, Mitral regurgitation-Nil, Pulmonary hypertension-Nil, Ventricular dysfunction-Nil 2)Doppler study: Mitral regurgitation-Nil, Valvular stenosis-Nil, Left ventricular out flow tract obstruction-Nil, Right ventricular out flow tract obstruction-Nil, Pulmonary Hypertension-Nil, Coarctation of aorta-Nil, Shunt-medium size ASD (os) Lt to Rt shunt 1.5:1 I consulted cardiology Doctor M.D,DNB,DM, He was suggestion to me.Not necessary close this Cole.So whats ur suggestion.pls give clear answer.I am daily going walking(3 km :20mints )and gym.so I am waiting ur Ans. kindly explain me about my Medical report.I must take close this cole?or?our doctor told me,this very small cole so,not necessary close And I would like to know it is necessary for me do this advance level - device closing immediately or can I do this after a year please let me know that too. If you suggest me does this in Chennai itself please let me know how much days I want to stay in hospital & what will be the total cost for this? As I decided to close this device, kindly let me know before going for this Advance Level Device Close do I want to take the TEE test. so kindly refer my MC report.If any possible close this Cole.kindly give all details. if any treatment in Ayurveda medicine.kindly tell meThanks in advance

### output:

Hello, What you have is atrial septal defect osmium second type, So I will enumerate my recommendation.  1) No ayurvedic treatment will help. 2) As the right heart dimensions are normal, and you are asymptomatic, you may consider not closing the hole at present. It can be easily closed with a device, and it is a procedure without any significant risk. Generally a TEE is done before device closure to determine the exact size of defect and select an appropriate device for closure. I would suggest you should get it closed as the procedure is non-invasive safe and can prevent any future complications. The best doctor in Chennai and probably India for the same is 