Author Contributions:

Drafting article: Risa Shimbori, Jun Takaki, Hosoda Yasuhito, Ken Okamoto, Koji Fukae
Critical revision: Toshihiro Fukui

References

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  4. Shoh Tateve, MD, PhD, Yoshiaki Saji, MD, PhD, Kenji Aoki, MD, Setsui Kuraoka, MD, PhD: Intermediate Type Atrioventricular Septal Defect in the Elderly. Ann Thorac Surg 2006;81:1888-1890.
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Figure Legends

Figure 1: (A)Twelve-lead electrocardiography showed sinus rhythm, left axis deviation, incomplete right bundle blanch block pattern. (B) Four chamber view of transthoracic echocardiogram shows a left atrial to right atrial shunt. (C) Cardiac catheterization shows gooseneck deformity. (LV =left ventricle, LA =left atrium, RV=right ventricle, RA=right atrium)
Figure 2: Operation. (A) The cleft of mitral valve. (B) Pericardial patch is sutured in place to close atrial component of defect. Coronary sinus remains draining to right atrium. (CS = coronary sinus, MV = mitral valve, RA = right atrium)
Figure 3: Post-operative transthoracic echocardiogram, there was no leak around pericardial patch. (LV =left ventricle, LA =left atrium, RV=right ventricle, RA=right atrium)