Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-15T00:17:58.610Z Has data issue: false hasContentIssue false

Chapter 4 - Transitional Atrioventricular Septal Defect

from Section 1 - Left-to-Right Shunts

Published online by Cambridge University Press:  09 September 2021

Laura K. Berenstain
Affiliation:
Cincinnati Children's Hospital Medical Center
James P. Spaeth
Affiliation:
Cincinnati Children's Hospital Medical Center
Get access

Summary

Atrioventricular septal defects are common congenital heart defects affecting the interatrial and interventricular septa as well as the atrioventricular valves. Atrioventricular septal defects occur due to the failure of endocardial cushions to properly develop and migrate to septate the heart during embryonic development; therefore they are also referred to as endocardial cushion defects. There are three common types or descriptions for atrioventricular septal defects: partial, transitional, and complete. An ostium primum type atrial septal defect exists in all types of atrioventricular septal defects. Partial and transitional atrioventricular septal defects have similar physiologic implications and are often diagnosed later in life as left-to-right shunting is not as significant; patients with complete atrioventricular septal defects have more significant left-to-right shunting with more severe pulmonary overcirculation, usually necessitating earlier intervention. This chapter discusses the pertinent findings and perioperative management of a patient with an unrepaired transitional atrioventricular septal defect.

Type
Chapter
Information
Congenital Cardiac Anesthesia
A Case-based Approach
, pp. 20 - 24
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Reading

Calkoen, E. E., Hazekamp, M. G., Blom, N. A., et al. Atrioventricular septal defect: from embryonic development to long-term follow-up. Int J Cardiol 2016; 202: 784–95.CrossRefGoogle ScholarPubMed
Davey, B. T. and Rychik, J. The natural history of atrioventricular valve regurgitation throughout fetal life in patients with atrioventricular canal defects. Pediatr Cardiol 2016; 37: 50–4.Google Scholar
Krupickova, S., Morgan, G. J., Cheang, M. H., et al. Symptomatic partial and transitional atrioventricular septal defect repaired in infancy. Heart 2018; 104: 1411–16.Google Scholar
Mery, C. M., Zea-Vera, R., Chacon-Portillo, M. A., et al. Contemporary results after repair of partial and transitional atrioventricular septal defects. J Thorac Cardiovasc Surg 2019; 157: 1117–27.Google Scholar
Ross, F. J., Nasr, V. G., Joffe, D., et al. Perioperative and anesthetic considerations in atrioventricular septal defect. Semin Cardiothorac Vasc Anesth 2017; 21: 221–8.Google Scholar
Tishler, B., Gauvreau, K., Colan, S. D., et al. Technical performance score predicts partial/transitional atrioventricular septal defect outcomes. Ann Thorac Surg 2018; 105: 1461–8.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×