title: Atrioventricular septal defect with common atrioventricular junction guarded by a common valve consisting of left atrioventricular trifoliate valve.
abstract: BACKGROUND
  Atrioventricular septal defect with common atrioventricular junction is a rare adult congenital cardiac syndrome. This occurrence with prolonged survival is exceptionally rare.
  
  
  METHODS
  We present the case of a patient who presented with this defect with common atrioventricular junction who survived to the age of 32. We describe a 32-year-old man with atrioventricular septal defect with common atrioventricular junction guarded by a common valve. His history, clinical course, and anatomic findings are discussed along with the factors which may have contributed to his longevity, which is unique in the medical literature. His management reflected the state of medical knowledge at the time when he presented, and although alternate approaches may have been utilized if the patient presented today. We discuss the findings, frequency, classifi cation, and management of congenital defects. Development of embryonic structure is altered by interaction between genetics and environmental factors toward a rare associated of congenital cardiac defects-complex congenital heart disease.
  
  
  CONCLUSIONS
  This case demonstrates that patients with very complex congenital cardiac disease may survive to adulthood, presenting challenges in both medical and surgical treatment.
authors.affiliation: Cardiology and Angiology Clinic, University Clinical Center of Kosova, Prishtina, Republic of Kosova.
authors.forename: Xhevdet
authors.initials: X
authors.lastname: Krasniqi
authors.affiliation: Cardiology and Angiology Clinic, University Clinical Center of Kosova, Prishtina, Republic of Kosova.
authors.forename: Masar
authors.initials: M
authors.lastname: Gashi
authors.affiliation: Cardiology and Angiology Clinic, University Clinical Center of Kosova, Prishtina, Republic of Kosova.
authors.forename: Blerim
authors.initials: B
authors.lastname: Berisha
authors.affiliation: Cardiology and Angiology Clinic, University Clinical Center of Kosova, Prishtina, Republic of Kosova.
authors.forename: Ejup
authors.initials: E
authors.lastname: Pllana
authors.affiliation: Cardiology and Angiology Clinic, University Clinical Center of Kosova, Prishtina, Republic of Kosova.
authors.forename: Aurora
authors.initials: A
authors.lastname: Bakalli
authors.affiliation: Neonatology Clinic, University Clinical Center of Kosova, Prishtina, Republic of Kosova.
authors.forename: Flora
authors.initials: F
authors.lastname: Abazi
authors.affiliation: Cardiology and Angiology Clinic, University Clinical Center of Kosova, Prishtina, Republic of Kosova.
authors.forename: Dardan
authors.initials: D
authors.lastname: Koçinaj
keywords: Atrioventricular septal defect; atrioventricular trifoliate valve; echocardiography.