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Cardiologia CROATICA This is a case study of 76-year old female patient with the congenital heart disease, discovered accidentally, after she started to complain of fatigue in a moderate effort. After the initial echocardiography had been made, she was suspected to have (partial) atrioventricular canal defect. This is a form of endocardial cushion defect, infrequently en-countered in adults. According to literature, there are only few case reports describing occasional patients who survived into the sixth or seven decade of their life. However, the patient was sent to our hospital then for undergoing a complete cardiac evaluation. At first, she was subjected to transthoracic and transoesophageal echocardiographic examination. The correct diagnosis was established (Figure 1 and 2). She had partial atrioventricular canal (PAVC) defect, known as a combination of primum atrial septal defect and a cleft in the anterior mitral leaflet, with a certain mitral insufficiency. Proπireni saæetak / Extended abstract

One possible way to treat a 76-years old patient with congenital heart disease and coronary artery disease