Pervietà interatriale nell'anziano: Quanto può esserne tardivo il riconoscimento?

Atrial Septal Defect (ASD) is a common congenital heart disease where diagnosis is often performed in the late adulthood but the clinical presentation of ASD in the very elderly is uncommon. A case of a 95 year old male where the ASD diagnosis was delayed until present age is reported. This diagnostic delay suggests that very elderly people are often misdiagnosed for two main reasons: comorbidity and new symptoms. This matter that is a common bias at this age underestimation often excludes these patients from important diagnostic procedures.