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Atrioventricular septal defect 4(AVSD4)

MedGen UID:
482411
Concept ID:
C3280781
Congenital Abnormality; Disease or Syndrome
Synonym: AVSD4
 
Gene (location): GATA4 (8p23.1)
 
Monarch Initiative: MONDO:0013747
OMIM®: 614430

Definition

The term 'atrioventricular septal defect' (AVSD) covers a spectrum of congenital heart malformations characterized by a common atrioventricular junction coexisting with deficient atrioventricular septation. In ostium primum atrial septal defect (ASD) there are separate atrioventricular valvar orifices despite a common junction, whereas in complete AVSD the valve itself is also shared (summary by Craig, 2006). AVSD, also designated endocardial cushion defect or atrioventricular canal defect (AVCD), is known to occur in either a nonsyndromic (isolated) form or, more commonly, as part of a malformation syndrome. The 2 syndromes most frequently associated with AVSD are Down syndrome (190685), in which AVSD is the most frequent congenital heart defect, and Ivemark syndrome (208530) (summary by Carmi et al., 1992). For a discussion of genetic heterogeneity of atrioventricular septal defects, see AVSD1 (606215). [from OMIM]

Clinical features

From HPO
Primum atrial septal defect
MedGen UID:
83374
Concept ID:
C0344735
Congenital Abnormality
An ostium primum atrial septal defect is located in the most anterior and inferior aspect of the atrial septum. The ostium primum refers to an anterior and inferior opening (ostium) within the septum primum, which divides the rudimentary atrium during fetal development. The ostium primum is normally sealed by fusion of the superior and inferior endocardial cushions around 5 weeks' gestation. Ostium primum defects result from a failure of the fusion of the embryologic endocardial cushion and septum primum.

Professional guidelines

PubMed

Barris DM, Mikhno M, Kornblit M, Wang K, Duong S, Cohen J, Paul E, Stern K, Ezon D, Geiger M
Ultrasound Obstet Gynecol 2023 Nov;62(5):695-700. Epub 2023 Oct 11 doi: 10.1002/uog.26240. PMID: 37128164
Ryd D, Fricke K, Bhat M, Arheden H, Liuba P, Hedström E
JAMA Netw Open 2021 Mar 1;4(3):e213538. doi: 10.1001/jamanetworkopen.2021.3538. PMID: 33779747Free PMC Article
Mureşan D, Mărginean C, Zaharie G, Stamatian F, Rotar IC
Med Ultrason 2016 Dec 5;18(4):500-507. doi: 10.11152/mu-879. PMID: 27981284

Recent clinical studies

Etiology

Schumacher K, Marin Cuartas M, Meier S, Aydin MI, Borger MA, Dähnert I, Kostelka M, Vollroth M
J Cardiothorac Surg 2023 Aug 23;18(1):250. doi: 10.1186/s13019-023-02355-6. PMID: 37612667Free PMC Article
Minnella GP, Crupano FM, Syngelaki A, Zidere V, Akolekar R, Nicolaides KH
Ultrasound Obstet Gynecol 2020 May;55(5):637-644. doi: 10.1002/uog.21956. PMID: 31875326
Syngelaki A, Hammami A, Bower S, Zidere V, Akolekar R, Nicolaides KH
Ultrasound Obstet Gynecol 2019 Oct;54(4):468-476. doi: 10.1002/uog.20844. PMID: 31408229
Calkoen EE, Hazekamp MG, Blom NA, Elders BB, Gittenberger-de Groot AC, Haak MC, Bartelings MM, Roest AA, Jongbloed MR
Int J Cardiol 2016 Jan 1;202:784-95. Epub 2015 Sep 26 doi: 10.1016/j.ijcard.2015.09.081. PMID: 26476030
Meisner H, Guenther T
Pediatr Cardiol 1998 Jul-Aug;19(4):276-81. doi: 10.1007/s002469900309. PMID: 9636249

Diagnosis

Pugnaloni F, Digilio MC, Putotto C, De Luca E, Marino B, Versacci P
Ital J Pediatr 2020 May 13;46(1):61. doi: 10.1186/s13052-020-00825-4. PMID: 32404184Free PMC Article
Minnella GP, Crupano FM, Syngelaki A, Zidere V, Akolekar R, Nicolaides KH
Ultrasound Obstet Gynecol 2020 May;55(5):637-644. doi: 10.1002/uog.21956. PMID: 31875326
Syngelaki A, Hammami A, Bower S, Zidere V, Akolekar R, Nicolaides KH
Ultrasound Obstet Gynecol 2019 Oct;54(4):468-476. doi: 10.1002/uog.20844. PMID: 31408229
Calkoen EE, Hazekamp MG, Blom NA, Elders BB, Gittenberger-de Groot AC, Haak MC, Bartelings MM, Roest AA, Jongbloed MR
Int J Cardiol 2016 Jan 1;202:784-95. Epub 2015 Sep 26 doi: 10.1016/j.ijcard.2015.09.081. PMID: 26476030
Meisner H, Guenther T
Pediatr Cardiol 1998 Jul-Aug;19(4):276-81. doi: 10.1007/s002469900309. PMID: 9636249

Therapy

King G, Buratto E, Cordina R, Iyengar A, Grigg L, Kelly A, Bullock A, Ayer J, Alphonso N, d'Udekem Y, Konstantinov IE
J Thorac Cardiovasc Surg 2023 Feb;165(2):424-433. Epub 2022 Apr 20 doi: 10.1016/j.jtcvs.2022.04.011. PMID: 36008181
Callahan CP, Jegatheeswaran A, Barron DJ, Husain SA, Fuller S, Overman DM, McCrindle BW; Congenital Heart Surgeons' Society Atrioventricular Septal Defect Working Group
J Thorac Cardiovasc Surg 2022 Mar;163(3):1142-1152.e6. Epub 2021 Sep 8 doi: 10.1016/j.jtcvs.2021.06.067. PMID: 34627603
Kwon MH, Schultz AH, Lee M, Permut LC, McMullan DM, Nuri MK
J Thorac Cardiovasc Surg 2022 Mar;163(3):1156-1162. Epub 2021 Jun 26 doi: 10.1016/j.jtcvs.2021.06.041. PMID: 34266667
Arrigoni SC, IJsselhof R, Postmus D, Vonk JM, François K, Bové T, Hazekamp MG, Rijnberg FM, Meyns B, van Puyvelde J, Poncelet AJ, de Beco G, van de Woestijne PC, Bogers AJJC, Schoof PH, Ebels T
J Thorac Cardiovasc Surg 2022 Mar;163(3):1166-1175. Epub 2021 May 18 doi: 10.1016/j.jtcvs.2021.05.015. PMID: 34099273
Krupickova S, Morgan GJ, Cheang MH, Rigby ML, Franklin RC, Battista A, Spanaki A, Bonello B, Ghez O, Anderson D, Tsang V, Michielon G, Marek J, Fraisse A
Heart 2018 Sep;104(17):1411-1416. Epub 2017 Dec 28 doi: 10.1136/heartjnl-2017-312195. PMID: 29288192

Prognosis

Schumacher K, Marin Cuartas M, Meier S, Aydin MI, Borger MA, Dähnert I, Kostelka M, Vollroth M
J Cardiothorac Surg 2023 Aug 23;18(1):250. doi: 10.1186/s13019-023-02355-6. PMID: 37612667Free PMC Article
Arrigoni SC, IJsselhof R, Postmus D, Vonk JM, François K, Bové T, Hazekamp MG, Rijnberg FM, Meyns B, van Puyvelde J, Poncelet AJ, de Beco G, van de Woestijne PC, Bogers AJJC, Schoof PH, Ebels T
J Thorac Cardiovasc Surg 2022 Mar;163(3):1166-1175. Epub 2021 May 18 doi: 10.1016/j.jtcvs.2021.05.015. PMID: 34099273
Minnella GP, Crupano FM, Syngelaki A, Zidere V, Akolekar R, Nicolaides KH
Ultrasound Obstet Gynecol 2020 May;55(5):637-644. doi: 10.1002/uog.21956. PMID: 31875326
Calkoen EE, Hazekamp MG, Blom NA, Elders BB, Gittenberger-de Groot AC, Haak MC, Bartelings MM, Roest AA, Jongbloed MR
Int J Cardiol 2016 Jan 1;202:784-95. Epub 2015 Sep 26 doi: 10.1016/j.ijcard.2015.09.081. PMID: 26476030
Meisner H, Guenther T
Pediatr Cardiol 1998 Jul-Aug;19(4):276-81. doi: 10.1007/s002469900309. PMID: 9636249

Clinical prediction guides

Callahan CP, Jegatheeswaran A, Barron DJ, Husain SA, Fuller S, Overman DM, McCrindle BW; Congenital Heart Surgeons' Society Atrioventricular Septal Defect Working Group
J Thorac Cardiovasc Surg 2022 Mar;163(3):1142-1152.e6. Epub 2021 Sep 8 doi: 10.1016/j.jtcvs.2021.06.067. PMID: 34627603
Kwon MH, Schultz AH, Lee M, Permut LC, McMullan DM, Nuri MK
J Thorac Cardiovasc Surg 2022 Mar;163(3):1156-1162. Epub 2021 Jun 26 doi: 10.1016/j.jtcvs.2021.06.041. PMID: 34266667
Fong LS, Betts K, Ayer J, Andrews D, Nicholson IA, Winlaw DS, Orr Y; Australian CAVSD study group
Eur J Cardiothorac Surg 2021 Dec 27;61(1):45-53. doi: 10.1093/ejcts/ezab221. PMID: 34002204
Minnella GP, Crupano FM, Syngelaki A, Zidere V, Akolekar R, Nicolaides KH
Ultrasound Obstet Gynecol 2020 May;55(5):637-644. doi: 10.1002/uog.21956. PMID: 31875326
Krupickova S, Morgan GJ, Cheang MH, Rigby ML, Franklin RC, Battista A, Spanaki A, Bonello B, Ghez O, Anderson D, Tsang V, Michielon G, Marek J, Fraisse A
Heart 2018 Sep;104(17):1411-1416. Epub 2017 Dec 28 doi: 10.1136/heartjnl-2017-312195. PMID: 29288192

Recent systematic reviews

Ghosh S, Halder V, Mittal A, Mishra A, Haranal M, Aggarwal P, Singh H, Barwad P, Naganur S, Thingnam SKS
Cardiol Young 2023 Sep;33(9):1506-1516. Epub 2023 Jul 31 doi: 10.1017/S1047951123002664. PMID: 37518865
Buca DIP, Khalil A, Rizzo G, Familiari A, Di Giovanni S, Liberati M, Murgano D, Ricciardulli A, Fanfani F, Scambia G, D'Antonio F
Ultrasound Obstet Gynecol 2018 Mar;51(3):323-330. doi: 10.1002/uog.17546. PMID: 28603940
Jentink J, Dolk H, Loane MA, Morris JK, Wellesley D, Garne E, de Jong-van den Berg L; EUROCAT Antiepileptic Study Working Group
BMJ 2010 Dec 2;341:c6581. doi: 10.1136/bmj.c6581. PMID: 21127116Free PMC Article

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