Successful Surgical Correction of Incomplete Atrioventricular Septal Defect in a 72-Year-Old Female Patient

浩正, 柳; 康子, 浦中; 吉則, 高梨

doi:10.4326/jjcvs.37.189

Cited by 2 publications

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References 4 publications

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“…There are many surgical cases of incomplete AVSD in adults, and good results are reported. The prognosis is not significantly different from that of secundum atrial septal defect (ASD) [ 1 , 3 ]. The conditions for long-term survival include: (i) simple cardiac malformation with only an ostium primum atrial septal defect or a cleft in the atrioventricular valve with minimal valve dysfunction; (ii) maintenance of sinus rhythm and no permanent arrhythmia until a relatively old age; (iii) mild cardiac dysfunction and late onset of heart failure; (iv) no other concomitant cardiac malformations or simple malformations; and (v) no severe pulmonary hypertension [ 1 , 4 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

Successful surgical correction of an incomplete atrioventricular septal defect in a 76-year-old female patient

Shirakura,

Akasaka,

Mizushima

et al. 2024

Journal of Surgical Case Reports

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We report the case of a 76-year-old woman with an incomplete atrioventricular septal defect and severe congestive heart failure who underwent surgical repair. Surgical intervention involved mitral valve repair and patch closure of the ostium primum defect, resulting in a favorable postoperative course. Successful outcomes support surgery as a reasonable treatment option owing to its significant improvement in postoperative quality of life, even in elderly patients with left atrioventricular valve degeneration.

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Section: Discussionmentioning

confidence: 99%

Successful surgical correction of an incomplete atrioventricular septal defect in a 76-year-old female patient

Shirakura,

Akasaka,

Mizushima

et al. 2024

Journal of Surgical Case Reports

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A Case of Intermediate Type Atrioventricular Septal Defect Associated with a Membranous Ventricular Septal Aneurysm in a 70-Year-Old Female Patient

et al. 2023

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The case was a 70-year-old female. Atrioventricular septal defect was diagnosed in her childhood, however, surgical treatment had not been performed. The patient had suffered from heart failure at the age of 69, and she was referred to our hospital for treatment. Her diagnosis was intermediate type atrioventricular septal defect, moderate left atrioventricular valve regurgitation, membranous ventricular septal aneurysm and atrial flutter. An autologous pericardial patch was used to close the ostium primum type atrial septal defect associated with simultaneous covering of membranous ventricular septal aneurysmal wall. Concomitant left and right atrioventricular valvuloplasty and arrhythmia surgery were performed. Her postoperative course was uneventful and the patient was discharged from our department on the 16th postoperative day. To our knowledge, there are few reports of surgery for incomplete type atrioventricular septal defect in the elderly and no report for intermediate type atrioventricular septal defect in Japan. In incomplete type atrioventricular septal defect, symptoms such as supraventricular arrhythmia and heart failure develop according to aging. Reported surgical results in the elderly are quite good, and improvement of excise tolerance is expected. Precise evaluation and proper indication of surgical treatment is mandatory even in older patients.

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Successful Surgical Correction of Incomplete Atrioventricular Septal Defect in a 72-Year-Old Female Patient

Cited by 2 publications

References 4 publications

Successful surgical correction of an incomplete atrioventricular septal defect in a 76-year-old female patient

Successful surgical correction of an incomplete atrioventricular septal defect in a 76-year-old female patient

A Case of Intermediate Type Atrioventricular Septal Defect Associated with a Membranous Ventricular Septal Aneurysm in a 70-Year-Old Female Patient

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