Is there any connection between cough and OS ASD?

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I have gone through the reports (attachment removed to protect patient identity). And from the reports, ASD (atrial septal defect) surgical closure is advised. Device closure is not suitable as rims are inadequate to hold the device and chances of device slipping are more. So, you should undergo surgery and it is a must. If surgery is not done, then there would occur irreversible damage to heart and lungs which has not yet occurred. It is not an emergency, maybe within the next six months, you may have it. Your respiratory symptoms are likely related to ASD only, due to increased pulmonary blood flow. You should get prescribed diuretics like tablet Dytor plus (Torasemide and Spironolactone) 10/25 mg to be taken at morning 8 AM from your specialist which hopefully will resolve your respiratory problem. This medicine should be taken until surgery.

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No, you should not ignore the surgery. It has to be done for a better outcome. Because if you do not do it, then a few years later, it becomes inoperable and life expectancy will be short. Also, quality of life will be very poor 10 to 15 years down the line. So, you should get it operated. Recovery will take two to four weeks, and you will be able to perform all the activities including gym. Sternal straps are not removed and usually do not create a major problem, although some patients may get pain. But these are not reasons to avoid surgery. There is a problem which is treatable at the moment and should be treated without having much stress.