Abstract
This chapter is organized by fundamental diagnoses, primary operations, and operations in adulthood for complications owing to acquired or residual lesions. Surgeons who perform operations for patients with atrioventricular septal defects (AVSDs) in adulthood mostly do so for complications of the original operations, with the exception of the rare adult patient with an unoperated partial AVSD. The following sections review the primary operations for AVSD, which orient the surgeon to the various types of repairs that are likely to be encountered in later years when patients present with left ventricular outflow tract (LVOT) obstruction, atrioventricular (AV) valve regurgitation or stenosis, residual ventricular septal defect (VSD), pulmonary hypertension, arrhythmias, and ventricular dysfunction.
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Abbreviations
- AICD:
-
Automatic implantable cardioverter defibrillator
- Ao:
-
Aorta
- ASD:
-
Atrial septal defect
- AV:
-
Atrioventricular
- AVSD:
-
Atrioventricular septal defect
- CS:
-
Coronary sinus
- IVC:
-
Inferior vena cava also known as inferior caval vein (ICV)
- LA:
-
Left atrium
- LUPV:
-
Left upper pulmonary vein
- LV:
-
Left ventricle
- LVOT:
-
Left ventricular outflow tract
- MV:
-
Mitral valve
- PA:
-
Pulmonary artery
- PPM:
-
Permanent pacemaker
- RA:
-
Right atrium
- SVC:
-
Superior vena cava also known as superior caval vein (SCV)
- TV:
-
Tricuspid valve
- VSD:
-
Ventricular septal defect
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Figs. 7.1–7.39: Mavroudis C. Atrioventricular septal defects (atrioventricular canal). In: Mavroudis C, Backer CL, editors. Atlas of Pediatric Cardiac Surgery. London: Springer-Verlag; 2015. p. 117–30. (Reproduced with permission from Springer Nature).
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Dearani, J.A., Mavroudis, C. (2020). Atrioventricular Septal Defects. In: Mavroudis, C., Dearani, J. (eds) Atlas of Adult Congenital Heart Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14163-9_7
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DOI: https://doi.org/10.1007/978-3-030-14163-9_7
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