Anas S Taqatqa1,2, Joseph J Vettukattil3,4,5. 1. Congenital Heart Center, Spectrum Health Helen DeVos Children's Hospital, Grand Rapids, MI, USA. 2. Pediatrics and Human Development, Michigan State University College of Human Medicine, Grand Rapids, MI, USA. 3. Congenital Heart Center, Spectrum Health Helen DeVos Children's Hospital, Grand Rapids, MI, USA. Joseph.Vettukattil@helendevoschildrens.org. 4. Pediatrics and Human Development, Michigan State University College of Human Medicine, Grand Rapids, MI, USA. Joseph.Vettukattil@helendevoschildrens.org. 5. Congenital Heart Center, Spectrum Health Helen DeVos Children's Hospital, 100 Michigan NE, Grand Rapids, MI, 49503, USA. Joseph.Vettukattil@helendevoschildrens.org.
Abstract
PURPOSE OF REVIEW: Atrioventricular septal defects (AVSD) represent a broad spectrum of congenital anomalies from simple to the most complex heart defects including some distinct types. Clinical presentation and timing of intervention differ by morphological subset and functional anatomy. Herein, we review morphological variations and characteristics that determine appropriate intervention and provide insights into functional anatomy based on detailed three-dimensional (3D) assessment of AVSDs. RECENT FINDINGS: The understanding of functional morphology of AVSDs has improved significantly with detailed 3D echocardiographic evaluation of the atrioventricular junction and valve morphology. As prenatal detection of AVSDs has increased significantly, it has become the most common fetal cardiac diagnosis enabling antenatal counseling and delivery planning. Advances in diagnosis and perioperative care have resulted in optimal outcomes. The diagnosis and management of AVSDs have improved over the years with enhanced understanding of anatomy and perioperative care resulting in optimal short and long-term outcomes.
PURPOSE OF REVIEW: Atrioventricular septal defects (AVSD) represent a broad spectrum of congenital anomalies from simple to the most complex heart defects including some distinct types. Clinical presentation and timing of intervention differ by morphological subset and functional anatomy. Herein, we review morphological variations and characteristics that determine appropriate intervention and provide insights into functional anatomy based on detailed three-dimensional (3D) assessment of AVSDs. RECENT FINDINGS: The understanding of functional morphology of AVSDs has improved significantly with detailed 3D echocardiographic evaluation of the atrioventricular junction and valve morphology. As prenatal detection of AVSDs has increased significantly, it has become the most common fetal cardiac diagnosis enabling antenatal counseling and delivery planning. Advances in diagnosis and perioperative care have resulted in optimal outcomes. The diagnosis and management of AVSDs have improved over the years with enhanced understanding of anatomy and perioperative care resulting in optimal short and long-term outcomes.
Authors: James C Fudge; Shuang Li; James Jaggers; Sean M O'Brien; Eric D Peterson; Jeffrey P Jacobs; Karl F Welke; Marshall L Jacobs; Jennifer S Li; Sara K Pasquali Journal: Pediatrics Date: 2010-07-12 Impact factor: 7.124
Authors: Rodney C G Franklin; Marie J Béland; Steven D Colan; Henry L Walters; Vera D Aiello; Robert H Anderson; Frédérique Bailliard; Jeffrey R Boris; Meryl S Cohen; J William Gaynor; Kristine J Guleserian; Lucile Houyel; Marshall L Jacobs; Amy L Juraszek; Otto N Krogmann; Hiromi Kurosawa; Leo Lopez; Bohdan J Maruszewski; James D St Louis; Stephen P Seslar; Shubhika Srivastava; Giovanni Stellin; Christo I Tchervenkov; Paul M Weinberg; Jeffrey P Jacobs Journal: Cardiol Young Date: 2017-12 Impact factor: 1.093
Authors: Mark D Reller; Matthew J Strickland; Tiffany Riehle-Colarusso; William T Mahle; Adolfo Correa Journal: J Pediatr Date: 2008-07-26 Impact factor: 4.406