Perioperative and Anesthetic Considerations in Atrioventricular Septal Defect

Semin Cardiothorac Vasc Anesth. 2017 Sep;21(3):221-228. doi: 10.1177/1089253217706166. Epub 2017 Jun 7.

Abstract

Atrioventricular septal defect results from a failure of normal endocardial cushion fusion during embryologic cardiac development. This developmental aberration results in defects in the atrial and/or ventricular septum and malformation of the atrioventricular valves. The pathophysiology of atrioventricular septal defect is variable, and ranges from mild left to right shunting similar to a simple atrial septal defect to complex single-ventricle heart disease. This review focuses on the spectrum of atrioventricular septal defect from partial to complete, without associated cardiac defects.

Keywords: atrioventricular canal; atrioventricular septal defect; cardiac anesthesia; congenital heart disease; perioperative.

Publication types

  • Review

MeSH terms

  • Anesthetics / administration & dosage*
  • Heart Septal Defects / physiopathology
  • Heart Septal Defects / surgery*
  • Heart Ventricles / physiopathology
  • Humans
  • Perioperative Care / methods*

Substances

  • Anesthetics

Supplementary concepts

  • Atrioventricular Septal Defect