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Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
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The matter of "unbalance" in right dominant atrioventricular septal defect

Ignacio Lugones1, María Fernanda Biancolini2, Germán Lugones3

  • 1Cardiac Surgery Department, "Dr. Pedro de Elizalde" General Children's Hospital, Buenos Aires, Argentina.

Annals of Pediatric Cardiology
|May 31, 2019
PubMed

Insights

Atrioventricular septal defect unbalance occurs at multiple levels and degrees. Hemodynamic factors are as crucial as dimensional comparisons for surgical decisions.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Atrioventricular septal defects (AVSD) present complex anatomical variations.
  • Historically, AVSD unbalance assessment focused on ventricular and atrioventricular valve dimensions.
  • A comprehensive understanding of AVSD unbalance requires integrating anatomical and hemodynamic perspectives.

Purpose of the Study:

  • To emphasize the importance of hemodynamic assessment in atrioventricular septal defect unbalance.
  • To advocate for a holistic approach combining anatomical and hemodynamic parameters for surgical planning in AVSD.

Main Methods:

  • Review of existing literature on atrioventricular septal defect morphology and hemodynamics.
  • Synthesis of anatomical and hemodynamic parameters relevant to AVSD unbalance.
  • Conceptual framework development for integrated assessment.

Main Results:

  • Unbalance in AVSD can manifest across multiple anatomical levels with varying severity.
  • Hemodynamic considerations are critically important, potentially equal in relevance to dimensional analysis.
  • Integrating diverse parameters provides a more complete picture of AVSD unbalance.

Conclusions:

  • Surgical decision-making for AVSD requires a comprehensive evaluation beyond simple dimensional comparisons.
  • Incorporating hemodynamic data alongside anatomical assessments is essential for optimal patient outcomes.
  • A unified understanding of AVSD unbalance facilitates improved surgical strategies.

Keywords:
Common atrioventricular canal defectcommon atrioventricular valveechocardiographyfunctionally univentricular heartleft ventricleventricular septal defect

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