Atrioventricular septal defect: From fetus to adult

Heart

Volumn 92, Issue 12, 2006, Pages 1879-1885

  Craig, Brian ^a  

^a ROYAL BELFAST HOSPITAL FOR SICK CHILDREN   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

CAPTOPRIL; DIGOXIN; DIURETIC AGENT;

ANGIOGRAPHY; AORTA SUBVALVULAR STENOSIS; ARTERIOVENOUS SHUNT; CLINICAL EXAMINATION; CLINICAL FEATURE; CONGENITAL HEART DISEASE; CONGESTIVE HEART FAILURE; DISEASE ASSOCIATION; DOWN SYNDROME; ELECTROCARDIOGRAPHY; ENDOCARDIAL CUSHION DEFECT; FALLOT TETRALOGY; FOLLOW UP; HEART ATRIOVENTRICULAR VALVE; HEART ATRIUM ARRHYTHMIA; HEART BLOCK; HEART LEFT VENTRICLE OUTFLOW TRACT OBSTRUCTION; HEART SEPTUM DEFECT; HEART SURGERY; HEART VALVE STENOSIS; HEART VENTRICLE ARRHYTHMIA; HUMAN; HYPOPLASIA; ISOMERISM; MITRAL VALVE REGURGITATION; NUCLEAR MAGNETIC RESONANCE IMAGING; POSTNATAL CARE; PRENATAL DIAGNOSIS; PRIORITY JOURNAL; REVIEW; SCREENING TEST; THORAX RADIOGRAPHY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TREATMENT OUTCOME; TRICUSPID VALVE REGURGITATION; TRICUSPID VALVE STENOSIS; VASCULAR DISEASE;

ADULT; DOWN SYNDROME; ECHOCARDIOGRAPHY; FEMALE; HEART SEPTAL DEFECTS, VENTRICULAR; HUMANS; PREGNANCY; PRENATAL DIAGNOSIS;

EID: 33845194684     PISSN: 13556037     EISSN: None     Source Type: Journal    
DOI: 10.1136/hrt.2006.093344     Document Type: Review

References (20)

1. Tubman RJ, Shields MD, Craig BG, et al. Congenital heart disease in Down's syndrome: two year prospective early screening study. BMJ 1991;302:1425-7. ▶ Early postnatal echocardiography in Down's syndrome can detect congenital heart disease which may be missed by clinical examination, radiography and electrocardiography.
2. Barlow GM, Chen Xn, Shi ZY, et al. Down syndrome congenital heart disease: a narrowed region and a candidate gene. Genet Med 2001;3:91-101. ▶ Study of 19 individuals with partial trisomy 21 suggests a candidate gene for the spectrum of Down's syndrome and congenital heart disease.
3. Anderson RH, Ho SY, Falcao S, et al. The diagnostic features of atrioventricular septal defect with common atrioventricular junction. Cardiol Young 1998;8(1):33-49. ▶ Review of the morphological diagnostic features of AVSD.
4. Marino B, Vairo U, Corno A, et al. Atrioventricular canal in Down syndrome. Prevalence of associated cardiac malformations compared with patients without Down syndrome. Am J Dis Child 1990;144:1120-2. ▶ Down's syndrome is associated with a simpler form of AVSD as compared to patients with normal chromosomes. The exception is the more common association of AVSD in Down's syndrome with tetralogy of Fallot.
5. Ter Heide H, Thompson JDR, Wharton GA, et al. Poor sensitivity of routine fetal anomaly scanning ultrasound screening for antenatal detection of atrioventricular septal defect. Heart 204;90:916-7. ▶ In a series of 92 consecutive patients with AVSD, only 29% were diagnosed antenatally.
6. Delisle MF, Sandor GG, Tessier F, et al. Outcome of fetuses diagnosed with atrioventricular septal defect. Obstet Gynecol 1999;94(pt1):763-7. ▶ Prenatal diagnosis of AVSD was associated with a 58% risk of aneuploidy (mainly trisomy 21).
7. Huggon IC, Cook AC, Smeeton NC, et al. Atrioventricular septal defects diagnosed in fetal life: associated cardiac and extra-cardiac abnormalities and outcome. J Am Coll Cardiol 1000;36:593-601. ▶ AVSD diagnosed prenatally associated with heterotaxy syndromes in 32% of cases.
8. Berger TJ, Blackstone EH, Kirklin JW, et al. Survival and probability of cure without and with operation in complete atrioventricular canal. Ann Thorac Surg 1979;27:104-11. ▶ Early era of surgical repair of AVSD in infancy compared with natural history without surgery.
9. Silverman NJ, Zuberbuhler JR, Anderson RH. Atrioventricular septal defects: cross-sectional echocardiographic and morphologic comparisons. Int J Cardiol 1986;13:309-31. ▶ The accuracy of cross-sectional echocardiography in AVSD as confirmed by angiography, surgery and/or autopsy.
10. Sulafa AK, Tamimi O, Najm HK, Godman MJ. Echocardiographic differentiation of atrioventricular septal defects from inlet ventricular septal defects and mitral valve clefts. Am J Cardiol 2005;95:607-10. ▶ Important echocardiographic distinction between AVSDs, inlet ventricular septal defects and isolated mitral valve clefts.
11. Sittiwangkul R, Ma RY, McCrindle BW, et al. Echocardiographic assessment of obstructive lesions in atrioventricular septal defects. J Am Coll Cardiol 2001;38:253-61. ▶ Ability of transthoracic echocardiography to identify obstructive left heart lesions in AVSD is explored. Most common missed lesions were double-orifice left atrioventricular valve and non-obstructive chordae in the left ventricular outflow tract.
12. Cohen MS, Jacobs ML, Weinberg PM, et al. Morphometric analysis of unbalanced common atrioventricular canal using two-dimensional echocardiparaphv. J Am Coll Cardiol 1996;28:1017-23. ▶ Echocardiographic morphometry of atrioventricular valve suggested to qualitate unbalance in AVSD and to guide in selection for single ventricle repair.
13. Smallhorn JF. Cross-sectional echocardiographic assessment of atrioventricular septal defect: basic morphology and preoperative risk factors. Echocardiography 2001;18:415-32. ▶ Important overview of echocardiographic features of AVSD including risk factors to be identified preoperatively.
14. Haworth SG. Pulmonary vascular bed in children with complete atrioventricular septal defect: relation between structural and hemodynamic abnormalities. Am J Cardiol 1986;57:833-9. ▶ Pulmonary vascular structural changes in AVSD increase with age in parallel with pulmonary artery pressure and resistance.
15. Prifti E, Bonacchi M, Bernabei M, et al. Repair of complete atrioventricular septal defects in patients weighing less than 5 kg. Ann Thorac Surg 2004;77:1717-26. ▶ Survival following surgery for AVSD is similar above and below 5 kg body weight. There is an increased incidence of late operation for left atrioventricular valve repair in the latter group.
16. Najm HK, Coles JG, Endo M, et al. Complete atrioventricular septal defects: results of repair, risk factors, and freedom from reoperation. Circulation 1997;96:311-15. ▶ Large series review of 363 patients following surgical repair of complete AVSD reports early mortality of 10.5% and 10-year survival of 83%.
17. El-Najdawi EK, Driscoll DJ, Puga FJ, et al. Operation for partial atrioventricular septal defect: a forty-year review. J Thorac Cardiovasc Surg 2000;119:880-90. ▶ Long term outcome after surgical repair of ostium primum ASD in 334 patients; 40-year survival was 76%.
18. Bull C, Rigby ML, Shinebourne EA. Should management of complete atrioventricular canal be influenced by coexistent Down's syndrome. Lancet 1985;i:1147-9. ▶ Combined early surgical mortality of 20% in patients with Down's syndrome and AVSD in 1985 compared to life expectancy of 80% at 15 years without surgery.
19. Rhodes J, Warner KG, Fulton DR, et al. Fate of mitral regurgitation following repair of atrioventricular septal defect. Am J Cardiol 1997;80:1194-7. ▶ Deterioration in left atrioventricular valve regurgitation after surgery for AVSD occurs primarily in the initial 30 postoperative months.
20. Bergin ML, Warnes CA, Tajik AJ, et al. Partial atrioventricular canal defect: long-term follow-up after initial repair in patients > or =40 years old. J Am Coll Cardiol 1995;25:1189-94. ▶ Early mortality of 6% in adults following primary repair of ostium primum ASD.