Abstract
We describe surgical repair of an incomplete atrioventricular septal defect (AVSD) in a 72-year-old woman who had cerebral infarction and severe congestive heart failure. A massive left-to-right shunt and severe left atrioventricular valve regurgitation, associated with pulmonary hypertension, were found on transesophageal echocardiography and cardiac catheterization. She underwent complete closure of the cleft and patch closure of the ostium primum defect. We conclude that surgical correction should be considered even in elderly patients with incomplete AVSD.
