I'm a 36 yr old female - had a non-invasive ASD closure in March 2008. Since the surgery, I've had pressure in my upper chest and neck, with some tenderness in the area of my heart and shoulder. I've had x-rays and echocardiogram completed a couple of weeks after the surgery and it was determined that everything was ok. I was sent back to my primary care - she was unsure of the cause but felt it would get better with time. The tenderness has improved but the pressure has persisted over 6 months. If the heart tests show my heart is fine, what other options should I pursue? This has only happened after the surgery so I'm positive it is related. My cardiologist and primary care are not helpful, therefore I wanted to pursue other options. What could I request as something that should be checked? It's frustrating that I feel worse after the surgery and am unable to return to the things I did before I had the ASD closed. I don't want to let it go so long it becomes a more serious problem.