ABC Imagem Cardiovasc. 2025; 38(3): e20250014
Challenges and Implications of Uncorrected Atrioventricular Septal Defect in Adults: A Complex Case Report
DOI: 10.36660/abcimg.20250014i
Case report
Male patient, 18 years old, admitted to a tertiary care hospital presenting with fever, cough, and dyspnea for the past seven days. According to the patient’s mother, he sought medical attention on the second day of symptoms at an urgent care clinic, where he was prescribed ibuprofen and azithromycin to take at home. Due to lack of improvement, he sought hospital care.
Medical history includes congenital heart disease, specifically a surgically uncorrected AVSD, as he had lost follow-up at the reference hospital since childhood. On physical exam, he appeared in fair condition, with a productive cough, rapid breathing, and cyanosis around the lips and extremities. Hemodynamically stable, with blood pressure of 125 × 86 mmHg, heart rate of 105 bpm in atrial fibrillation rhythm, and oxygen saturation of 69% on room air.
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Keywords: Adult; Atrial Heart Septal Defects; Congenital heart defects
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