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Atrioventricular septal defect with an imperforate right-sided component of the common atrioventricular valve: anatomic and embryologic considerations

Published online by Cambridge University Press:  10 July 2013

Lazaro E. Hernandez*
Affiliation:
Department of Pediatrics, Amplatz Children's Hospital, University of Minnesota, Minneapolis, Minnesota, United States of America
Lazaros K. Kochilas
Affiliation:
Department of Pediatrics, Amplatz Children's Hospital, University of Minnesota, Minneapolis, Minnesota, United States of America
Robert H. Anderson
Affiliation:
Department of Pediatrics, Institute of Medical Genetics, Newcastle University, Newcastle-upon-Tyne, United Kingdom
*
Correspondence to: L. E. Hernandez, MD, 2540 Riverside Ave, East 5th floor, Minneapolis, Minnesota, United States of America. Tel: 612-626-2755; Fax: 612-626-2467; E-mail: email: herna426@umn.edu

Abstract

We describe an atypical case of an atrioventricular septal defect with a common atrioventricular junction in which the right-sided component of the common atrioventricular valve was imperforate, producing tricuspid atresia with a severely hypoplastic right ventricle and an ostium primum defect. We discuss the implications of the anatomic findings with regard to concepts of cardiac development, drawing a comparison with similar cases previously reported.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Cetta, F, Minichi, LL, Edwards, W, Dearani, J, Puga, FJ. Atrioventricular septal defects. In: Moss and Adams’ Heart Disease in Infants, Children, and Adolescents Including the Fetus and Young Adult, vol. 31, 7th edn. 2008: 646–667. Lippincott Williams & Wilkins: Philadelphia.Google Scholar
2. Valdes-Cruz, L, Cayre, RO. Atrioventricular septal defect. In: Echocardiographic Diagnosis of Congenital Heart Disease. An Embryologic and Anatomic Approach, vol. 11, 1st edn. 1999: 215–234. Lippincott-Raven: Philadelphia.Google Scholar
3. Aiello, VD, Afiune, JY, Menahem, S, Anderson, RH. Atrioventricular septal defect with coexisting tricuspid atresia. Cardiol Young 2011; 21: 299302.Google Scholar
4. Anderson, RH, Ho, SY, Macartney, FJ, Becker, AE. The anatomy of atrioventricular septal defects. In: Quero Jimenez M, Arteaga M (eds). Pediatric Cardiology. Atrioventricular Septal Defects. Doyma, Madrid, 1988: 132150.Google Scholar
5. Van Mierop, LHS, Alley, RD, Kausel, HW, Stranahan, A. The anatomy and embryology of the endocardial cushion defects. J thorac Cardiovasc Surg 1962; 43: 7183.Google Scholar
6. Anderson, RH, Wessels, A, Vettukattil, JJ. Morphology and morphogenesis of atrioventricular septal defect with common atrioventricular junction. World J Pediatr Congenit Heart Surg 2010; 1: 5967.Google Scholar
7. Van Praagh, S, Vangi, V, Sul, JH, et al. Tricuspid atresia or severe stenosis with partial common atrioventricular canal: anatomic data, clinical profile and surgical considerations. JACC 1991; 17: 932943.Google Scholar