[Calcified ventricular septal defects--a surgical case in elderly]

A 60-year-old female with ventricular septal defect was operated upon successfully. Twice episodes of congestive heart failure were preceded to the operation. The defect with massive calcification around it was repaired with direct closure. The postoperative course was uneventful except for transient attacks of atrial fibrillation and asthma. A chronic course with a jet stream and/or probable inflammation in long term period might be considered as a causative factor of calcification around the ventricular septal defect. Surgical procedure, if necessary, is not contraindicated in such cases.