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Successful Repair of Complete Atrio-ventricular Septal Defect at the Beginning of the Second Decade
Awais Ashfaq1, Nilay Shah1, Osama T Siddiqui2
1Department of Surgery Mayo Clinic Arizona, Arizona, United States of America.
Insights
Complete atrio-ventricular septal defects (CAVSD) are rare congenital heart conditions. This case highlights successful surgical repair of CAVSD in an 11-year-old girl, challenging typical treatment timelines.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Surgical Innovation
Background:
- Complete atrio-ventricular septal defects (CAVSD) affect approximately 3% of infants with congenital heart defects.
- Standard treatment involves early surgical correction in infancy, as delayed intervention is associated with severe morbidity and mortality.
- CAVSD necessitates prompt medical and surgical intervention for optimal patient outcomes.
Purpose of the Study:
- To present a unique case of successful surgical repair of CAVSD in an 11-year-old patient.
- To discuss the implications of late surgical intervention for CAVSD.
- To highlight the possibility of successful surgical outcomes in atypical age groups.
Main Methods:
- Case report of a Pakistani girl diagnosed with CAVSD.
- Surgical intervention for complete atrio-ventricular septal defect repair.
- Post-operative monitoring and assessment of the patient's condition.
Main Results:
- The patient, an 11-year-old girl, underwent successful surgical repair of CAVSD.
- The late surgical intervention resulted in a positive clinical outcome.
- This case demonstrates the feasibility of successful CAVSD repair at an advanced age.
Conclusions:
- Successful surgical repair of CAVSD is achievable even in older children, contrary to typical practice.
- This case expands the understanding of treatment possibilities for complete atrio-ventricular septal defects.
- Late surgical intervention for CAVSD can lead to favorable outcomes, warranting further investigation.
Abstract:
Complete atrio-ventricular septal defects (CAVSD) are present in about 3% of children born with congenital heart pathologies. They usually require early surgical correction, mostly in infancy, and surgery is considered to be the gold standard. It is unlikely that anyone would survive beyond the first years without severe morbidity. However, we report a case of a Pakistani girl who underwent successful surgical repair of CAVSD at the age of 11.

