title: [Pulmonary stenosis and atrial septal defect: a rare association in the elderly].
abstract: We report the case of an elderly woman with persistent unrepaired atrial septal defect and moderate pulmonary stenosis. The diagnostic work-up and the echocardiographic findings of such a rare case are reported, along with a brief description of heart failure pathophysiology in this grown-up congenital heart disease.To the best of our knowledge, this is the first case with the greater longevity in an elderly patient with unrepaired atrial septal defect and pulmonary stenosis ever reported in the literature.
authors.affiliation: U.O.C. Cardiologia ed Emodinamica, Ospedale Belcolle, Viterbo.
authors.forename: Giordano
authors.initials: G
authors.lastname: Zampi
authors.affiliation: Dipartimento di Scienze Cardiovascolari, Ospedale San Camillo-Forlanini, Roma.
authors.forename: Amedeo
authors.initials: A
authors.lastname: Pergolini
authors.affiliation: U.O.C. Cardiologia ed Emodinamica, Ospedale Belcolle, Viterbo.
authors.forename: Andrea
authors.initials: A
authors.lastname: Celestini
authors.affiliation: U.O.C. Cardiologia ed Emodinamica, Ospedale Belcolle, Viterbo.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Benvissuto
authors.affiliation: Dipartimento di Scienze Cardiovascolari, Ospedale San Camillo-Forlanini, Roma.
authors.forename: Maria Denitza
authors.initials: MD
authors.lastname: Tinti
authors.affiliation: U.O.C. Diagnostica per Immagini, Ospedale Belcolle, Viterbo.
authors.forename: Mariano
authors.initials: M
authors.lastname: Ortenzi
authors.affiliation: U.O.C. Cardiologia ed Emodinamica, Ospedale Belcolle, Viterbo.
authors.forename: Luigi
authors.initials: L
authors.lastname: Sommariva
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D004452:Echocardiography / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D011666:Pulmonary Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed