title: Adult presentation of complete atrioventricular septal defect.
abstract: Complete atrioventricular septal defect generally presents early in life with symptoms of congestive heart failure. Untreated, patients almost universally develop irreversible pulmonary hypertension. We present an unusual case of a Down's syndrome patient whose septal defect first presented at 20 years of age.
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USA.
authors.forename: Murray H
authors.initials: MH
authors.lastname: Kown
authors.forename: Luca
authors.initials: L
authors.lastname: Vricella
authors.forename: Christopher T
authors.initials: CT
authors.lastname: Salerno
authors.forename: David N
authors.initials: DN
authors.lastname: Rosenthal
authors.forename: Michael D
authors.initials: MD
authors.lastname: Black
mesh_terms: D000328:Adult; D000367:Age Factors; D004314:Down Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery; D004452:Echocardiography; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging* / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male