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Related Experiment Videos

Intermediate type atrioventricular septal defect in the elderly.

Shoh Tatebe1, Yoshiaki Saji, Kenji Aoki

  • 1Department of Thoracic and Cardiovascular Surgery, Mito Saiseikai General Hospital, Mito City, Japan. statebe@yahoo.com

The Annals of Thoracic Surgery
|April 25, 2006
PubMed
Summary

This case study highlights a rare intermediate type atrioventricular septal defect in an elderly patient presenting with congestive heart failure. Surgical repair was successful, offering insights into managing this uncommon congenital heart condition in older adults.

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Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Adult Congenital Heart Disease

Background:

  • Atrioventricular septal defects (ASDs) are rare congenital heart anomalies.
  • Intermediate type ASDs are particularly uncommon, especially when diagnosed in adulthood.
  • Late diagnosis in the elderly can lead to complications like congestive heart failure.

Observation:

  • A 65-year-old woman presented with undiagnosed intermediate type atrioventricular septal defect.
  • The defect presented with a restrictive ventricular septal defect and an atypical atrioventricular valve connection.
  • Congestive heart failure was the initial clinical manifestation.

Findings:

  • Surgical intervention included direct closure of the ventricular septal defect, atrioventricular valve cleft repair, and ostium primum closure.

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  • Postoperative echocardiography confirmed successful anatomical and functional heart repair.
  • The case underscores the possibility of late-onset presentation of complex congenital heart defects.
  • Implications:

    • This case expands the understanding of rare atrioventricular septal defects in the elderly population.
    • It highlights the importance of considering congenital heart disease in older adults presenting with heart failure symptoms.
    • The surgical approach provides valuable insights for managing similar complex cases in adult congenital heart disease patients.