Korean J Thorac Cardiovasc Surg.  2006 Aug;39(8):633-636.

Case Report of Partial Endocardial Cushion Defect with Mild Pulmonary Hypertension in Old Age

• Kim WS
• An JB
• Song CM
• Kim M
• Jung SC
• Kim IS
• Shin YC
• Kim BY

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.

Keyword

Congenital heart disease; Endocardial cushion defects; Adult

MeSH Terms

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