Case Report of Partial Endocardial Cushion Defect with Mild Pulmonary Hypertension in Old Age.
- Author:
Woo Shik KIM
1
;
Jae Bum AN
;
Chang Min SONG
;
Mijung KIM
;
Sung Chol JUNG
;
In Sub KIM
;
Yong Chul SHIN
;
Byung Yul KIM
Author Information
1. Department of Thoracic & Cardiovascular Surgery, National Medical Center, Korea. alien772@freechal.com
- Publication Type:Case Report
- Keywords:
Congenital heart disease;
Endocardial cushion defects;
Adult
- MeSH:
Adult;
Aged;
Atrioventricular Block;
Cardiomegaly;
Endocardial Cushion Defects*;
Endocardial Cushions*;
Female;
Heart Defects, Congenital;
Heart Failure;
Heart Septal Defects, Atrial;
Humans;
Hypertension;
Hypertension, Pulmonary*;
Mitral Valve;
Mitral Valve Insufficiency;
Prognosis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(8):633-636
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The partial endocardial cushion defect including ostium primum atrial septal defect and anterior mitral leaflet cleft, presents less significant clinical symptoms than complete endocardial cushion defect. But, as mitral insufficiency develops, cardiomegaly, congestive heart failure, pulmonary arterial hypertension appear. So, partial endocardial cushion defect has poor prognosis and is rarely seen in elderly patients. A 67 years old woman admitted at our hospital for operative treatment with partial endocardial cushion defect. She had increased pulmonary pressure of 45/22 mmHg, mean 32 mmHg. She had repair of ostium primum defect with patch, and the mitral valve was treated with valve replacement. Because advanced atrioventricular block developed postoperatively, she received permanent pacemaker.
