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Different forms of atrioventricular canal defects

Different forms of atrioventricular canal defects
Anatomic and physiologic similarities between the different forms of AVSDs are illustrated. Complete AVSDs have 1 annulus with large interatrial and interventricular communications. Intermediate defects (1 annulus, 2 orifices) are a subtype of complete AVSD. Complete AVSDs have physiology of VSDs and ASDs. In contrast, partial AVSDs have physiology of ASDs. Transitional defects are a form of complete AVSD in which a small, insignificant inlet VSD is present and, as a result, the physiology is more similar to that of a partial defect. Partial defects and the intermediate form of complete AVSD share a similar anatomic feature: A tongue of tissue divides the common AV valve into distinct right and left orifices.
LA: left atrium; LPV: left pulmonary vein; LV: left ventricle; RA: right atrium; RPV: right pulmonary vein; RV: right ventricle; VSD: ventricular septal defect; ASD: atrial septal defect; AV: atrioventricular; AVSD: atrioventricular septal defect.
Reproduced with permission from: Cetta F, Minich LL, Edwards WD, et al. Atrioventricular septal defects. In: Moss and Adams' Heart Disease in Infants, Children, and Adolescents Including the Fetus and Young Adult, 7th ed, Allen HD, Shaddy RE, Driscoll DJ, Feltes TF (Eds), Lippincott Williams & Wilkins, Philadelphia 2007. Copyright © 2007 Lippincott Williams & Wilkins. www.lww.com.
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