Sirisilla district follow up case. Patient master Narasimha (M/5), is suffering from Sinus Venosus Atrial Septal Defect ASD, dilated RA/RV and mild PAH. Reports shown to Dr. Anil Kumare Mulpur, Apollo Hospital, Karimnagar in Feb. 2023. He examined patient and informed that he can do surgery for this patient. , Accordingly patient admitted in Apollo, Karimnagar on 28.2.23 and Sinus Venosus Atrial Septal Defect surglery done on 1.3.23. Patient is recovering and likely to be discharged on 4.3.23. I am going to Karimnagar on 4.2.23 to see the patient.. Services are placed at the Lotus Feet of our beloved Swamy. Sairam.