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Adult Presentation of Complete Atrioventricular Septal Defect

Department of Cardiothoracic Surgery 1 Department of Pediatrics Stanford University School of Medicine Stanford, California, USA
For reprint information contact: Michael D Black, MD Tel: 1 650 725 6407 Fax: 1 650 725 3846 email: michael.black{at}leland.stanford.edu Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USA.

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.