[Successful repair of partial atrioventricular septal defect in a 70-year-old female patient].
A 70-year-old female with partial atrioventricular septal defect underwent a total correction of the anomaly. The patient was in NYHA functional class II. Preoperative cardiac catheterization demonstrated a primum-type atrial septal defect through which 33% of left to right shunt occurred and a cleft of mitral valve causing moderate regurgitation. The operative procedure as our routine for this anomaly consisted of suture of mitral septal commissure and closure of atrial septal defect with autologous pericardial patch. Postoperative examination showed satisfactory competence of mitral valve and improved functional capacity. A successful correction for the case aged more than 66 with this anomaly has not been reported so far in Japanese literature. We conclude that surgical treatment should be basically considered for this anomaly in spite of senility.
Katsumata
T
T
Department of Cardiovascular Surgery, Kosei General Hospital, Tokyo, Japan.
Egoh
Y
Y
Nojiri
C
C
Iguchi
N
N
Utsumi
M
M
Oka
T
T
Kato
T
T
Takahashi
S
S
D000368:Aged; D006328:Cardiac Catheterization; D004562:Electrocardiography; D004694:Endocardial Cushion Defects / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D011788:Quality of Life