Heart 2006;92:832-835
CONGENITAL HEART DISEASE
Can atrioventricular septal defects exist with intact septal structures?
1 Inherited Cardiovascular Diseases Unit, Great Ormond Street Hospital, Great Ormond Street, London, UK
2 Department of Paediatric Cardiology, Royal Brompton Hospital, Sydney Street, London, UK
Correspondence to:
Dr Elliot A Shinebourne
Department of Paediatric Cardiology, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK; e.shinebourne{at}rbh.nthames.nhs.uk
The hallmark of an atrioventricular septal defect (AVSD) is a common atrioventricular junction, giving rise to a trileaflet left atrioventricular valve. AVSDs have the potential for interatrial shunting alone, interventricular shunting alone, or both. AVSDs without interatrial or interventricular communications have been identified at postmortem examination, but there are no reports of AVSDs with intact septal structures diagnosed in life. Six patients are described with AVSD and intact atrial and ventricular septa diagnosed echocardiographically. This report shows that AVSDs can exist without interatrial or interventricular communications and that the characteristic feature of this condition, the common atrioventricular junction with a trileaflet left atrioventricular valve, can be diagnosed in life by using cross sectional echocardiography. AVSDs with intact septal structures may be more common than previously described.
Abbreviations: ASD, atrial septal defect; AVSD, atrioventricular septal defect; VSD, ventricular septal defect
Keywords: congenital heart disease; atrioventricular septal defect; echocardiography; intact septal structures
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