“…The natural history of ventricular septal defects depends on the size of the defect and on the pulmonary resistance [2]. In adults congenital heart disease, ventricular septal defects [3,4] represent about 10% of the cases. However, the finding of a ventricular septal defect in an elderly individual N 80 years of age is extremely uncommon and only two cases have been reported in a living patient, as an accidental finding [5,6].…”