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Ventricular septal defect in the 9th decade.

J Mukharji¹, L Sullivan

¹Division of Cardiology, Trinity Lutheran Hospital, Kansas City, Missouri, USA.

Missouri Medicine

|September 28, 2001

Summary

This case study presents the oldest patient documented with a large, unoperated congenital ventricular septal defect. It explores the natural history and management of this rare cardiac condition.

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Area of Science:

Cardiology
Congenital Heart Disease
Geriatric Medicine

Background:

Congenital ventricular septal defects (VSDs) are common heart abnormalities.
Large, unoperated VSDs typically present in childhood due to significant hemodynamic impact.
Isolated VSDs without other cardiac anomalies are less common in older adults.

Observation:

This report details a case of the oldest patient identified in the literature with a large, isolated, unoperated congenital ventricular septal defect.
The patient presented with a significant VSD, challenging typical clinical expectations for such defects.
Clinical evaluation focused on the long-term effects and management strategies for a VSD in an elderly individual.

Findings:

The natural history of a large, unoperated VSD in an elderly patient is presented.
Management considerations for this rare presentation are discussed, highlighting the unique challenges.
This case expands the understanding of VSDs in advanced age.

Implications:

This case highlights the potential for long-term survival with large, unoperated VSDs.
It underscores the need for individualized management approaches in geriatric cardiology.
Further research into the natural history of unoperated VSDs in the elderly is warranted.

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