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Ann Thorac Surg 2006;81:1888-1890
© 2006 The Society of Thoracic Surgeons


Case report

Intermediate Type Atrioventricular Septal Defect in the Elderly

Shoh Tatebe, MD, PhD * , Yoshiaki Saji, MD, PhD, Kenji Aoki, MD, Setsuo Kuraoka, MD, PhD

Department of Thoracic and Cardiovascular Surgery, Mito Saiseikai General Hospital, Mito City, Japan

Accepted for publication May 24, 2005.

* Address correspondence to Dr Tatebe, Department of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medicine and Dentistry, 757 Asahimachi-Dohri 1, Niigata City, 951-8510 Japan (Email: statebe{at}yahoo.com).

A 65-year-old woman with intermediate type atrioventricular septal defect had been undiagnosed until initial presentation with congestive heart failure. She underwent surgery when the ventricular septal defect was found to be restrictive. The atrioventricular valve was similar to the common atrioventricular valve, but was connected to the crest of the ventricular septal defect. Surgery included direct closure of the ventricular septal defect, repair of the cleft in the atrioventricular valve, and ostium primum closure. Postoperative echocardiography indicated successful heart repair. We present a review of rare intermediate type atrioventricular septal defect in the elderly, and we discuss the surgical issues in this case.







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