Patient : Description of condition (onset, main symptoms, hospital visited, etc.): Patient female, 42 years old, cardiac ultrasound findings: Heart rate: 86 beats/min Aorta: internal diameter 2.33CM Pulmonary artery: internal diameter 2.26CM Left atrium: internal diameter 2.51; right atrium internal diameter 5.71*4.06CM Right ventricle: outflow width 2.6CM, internal diameter 2.5CM Left ventricle: diastolic internal diameter 4.1CM. Posterior wall: diastolic thickness 0.61CM, systolic thickness 0.72CM Ventricular septum: diastolic thickness 0.72CM, systolic thickness 0.87CM, with posterior wall motion of the left ventricle (-) Cardiac function: ESV_22ml,EDV_74ml SV_52ml EF_0.69 FS_38% PVA_0.43M/S PVE_0.95M/S EPSS_0.10. Echo-deficient segment with a width of about 0.99CM is seen in the middle and lower septum. CDFI showed a red septal flow of approximately 1.38 cm in width from the left atrium to the right atrium during systole. The left atrium was normal in size, with good intracavitary sound, normal left ventricular internal diameter, no wall thickening, good amplitude of left ventricular wall motion, and no significant abnormalities in the synergy of systolic activity in all segments; the right atrium, right enlargement, and no significant abnormalities in wall motion; no significant echogenic interruptions in the atrial and ventricular septum, and no significant periseptal flow by Doppler. The echogenicity of each valve was not significantly abnormal, the opening was normal, and no significant regurgitant signal was seen on CDFI. No significant abnormal blood flow was seen in the ascending aorta. There was no significant widening of the pulmonary artery, and no significant abnormal blood flow was detected in the pulmonary artery. The pericardial echogenicity was not significantly abnormal. The ultrasound suggests: 1) precordial atrial defect, 2) enlarged right heart, and 3) normal left heart function. No treatment Is this serious? Is there any medication or surgery? Doctor: You’ve come to the right person to consult me! It is possible to avoid the deviation from a purely interventional or surgical perspective. First of all, your disease is not serious, it is very common. The atrial defect is congenital and has been with you for more than 40 years. Combined with your cardiac ultrasound results, the heart is of ok size, no pulmonary hypertension and good cardiac function, so your disease is not serious. Regarding the treatment: Definitely, medications can relieve the symptoms, but they cannot cure it. For example, there is a big hole in the wall, just scatter some cement, can you seal the big hole? Obviously not. Treatment options: 1. Preferred interventional treatment is to perform atrial defect closure, which is also a very routine procedure. But we have to review your heart ultrasound to determine whether there are conditions for interventional treatment, and if the edges of the atrial defect are available, then seal it. Regarding the problem of X-rays, you are already in your 40s, and the glandular function is different from that of children, so this X-rays will cause very little damage to you. Overall cost: about 25,000 for domestic blockers and about 42,000 for imported blockers. The possibility is 70%. Of course, there is also surgical minimally invasive blocking surgery, the cost of 35,000 or so. 2. If intervention is not suitable, atrial defect repair with the assistance of thoracoscopy is used. The trauma is small and the recovery is fast. As long as you are not particularly fat, there should be no problem. Plus the possibility of interventional treatment is 95%. The overall cost is about 35,000. 3. Traditional surgery, of course, can be done with small incisions. The cost is about 30,000. By the above methods, both can be absolutely treated. 4.Of course, your economic condition is very good, you can also use robot-assisted atrial defect repair. There is no need to recommend other methods.