The invention discloses an atrial septum shunting device for treating heart failure, which comprises an outer tube, the outer tube being a hollow tube, a first stop block and a second stop block being arranged at the far end of the inner cavity of the outer tube, and a spring being arranged between the first stop block and the second stop block; a tool bit conveying pipe, arranged in the hollow inner cavity of the outer pipe, the tool bit conveying pipe being also a hollow pipe, a cutting tool bit being arranged at the farthest end of the tool bit conveying pipe, a protruding part being arranged on the periphery of the tool bit conveying pipe, and the protruding part being located between the second stop block and the spring; a liquid bag catheter, arranged in the hollow inner cavity of the scalpel head conveying pipe, and a liquid bag being arranged on the liquid bag catheter; and an operating handle, the near end of the outer tube, the near end of the cutter head conveying tube and the near end of the liquid bag catheter being fixedly connected to the operating handle. According to the device, after expansion, the liquid bag and the support abut against one side of the atrial septum, the cutting tool bit cuts in from the other side of the atrial septum, a hole is punched in the position of the atrial septum, and then heart failure is effectively treated.