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Doctor insights on: Best Avsd Treatment

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Dr. Richard Humes
60 Doctors shared insights

Endocardial Cushion Defects (Definition)

Endocardial cushion defects, more commonly known as atrioventricular (AV) canal or septal defects, include a range of defects characterized by involvement of the atrial septum, the ventricular septum, and one or both of the AV valves. A complete AV septal defect indicates the presence of both atrial and ventricular septal defects with ...Read more


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I'm 37wks pregnant & baby has avsd. Doctor suggested elective cesarian at 38wks as baby's heart weakening (110beat/min). Is this best for both of us?

I'm 37wks pregnant & baby has avsd. Doctor suggested elective cesarian at 38wks as baby's heart weakening (110beat/min). Is this best for both of us?

Fetal center.: Your baby's case should be managed according to a multidisciplinary fetal care center recommendations, with input from pediatric cardiology, maternal-fetal medicine, neonatology and obstetrics. A pre-labor cesarean delivery is not necessary for most avsds, especially if the fetus is syndromic (down?). On the other hand, if fetal testing is non-reassuring then prompt delivery may prove life-saving. ...Read more

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What are the symptoms of avsd?

What are the symptoms of avsd?

Atrioventicular sept: Atrioventicular septal defect occurs during the first eight weeks of fetal development. The size of the openings will affect the type and severity of symptoms
difficult or congested breathing
poor appetite or poor weight gain
lack of interest or unusual tiredness during feeding
cyanosis: a blue tone to the skin, lips, or nails
pale, cool or sweaty skin
a heartbeat that is too fast. ...Read more

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If my baby has avsd what is the chance she has down's?

If my baby has avsd what is the chance she has down's?

No: Most babies with a heart defect do not have down syndrome. Babies who have Down syndrome have a higher risk of having heart defects. ...Read more

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Are there any surviving adults who were born with a complete avsd?

Are there any surviving adults who were born with a complete avsd?

Sure.: In fact most individuals born with balanced complete avsd can have long lives in spite of it, after surgical repair. ...Read more

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Complete avsd size 29 mm in three month child with pah and av regurgitation is there. Could it be repaired?

Complete avsd size 29 mm in three month child with pah and av regurgitation is there. Could it be repaired?

Yes: Usually if it's a balanced avsd (normal sized ventricles) then regardless of defect size it is repairable. Pah at the age of three months is usually not fixed (reversible) and most probably secondary to the large left to right shunt. Even if the baby has down syndrome, at three months of age pah is usually reversible. Av valve regurg is part of avsd and does not preclude patient from repair. ...Read more

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Would a partial atrioventicular septal defect avsd show on echo in an adult?

Yes: A partial avsd can be associated with a murmur and yet the patient may have no symptoms. It may not require surgery. It wil depend on the size of the defect and valve issues. A cardiac echocardiogram/doppler study (performed by someone familiar with congential heart defects, such as a board-certified pediatric cardiologist) can detect the partial avsd. ...Read more

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Complete avsd size 29 mm in three month child with pah and av valve regurgitetion is there could it repair?

Yes: A complete evaluation is necessary, but avsd is usually repaired at a few months of age. Av valve regurgitation is frequently associated and may be due to a "cleft" or slit like defect in the left side of the common av valve. This can also be addressed at the time of repair. ...Read more

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Complete avsd size 29 mm in three month child with pah and av valve regurgitetion is there could it repair?

Complete avsd size 29 mm in three month child with pah and av valve regurgitetion is there could it repair?

Hopefully this helps: Not sure I understand your question fully, but atrioventricular septal defects (avsd) typically have sizable holes on the atrial and ventricular portions of the heart. This causes major problems in some children to gain weight, and even breathe well, and they often need diuretics before surgery. These defects should be closed before 6 months of age, and I hope this baby is being closely followed! ...Read more

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How old is a baby when they have their avsd repair?

How old is a baby when they have their avsd repair?

Depends: There is a lot of variability in size with a VSD and treatment varies. Some will actually close on their own, so nothing beyond watchful waiting is needed. The big ones are monitored and sometimes need meds to support the heart until baby is big enough to make the surgery a bit easier technically. ...Read more

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Is smoking and alcohol dangerous for avsd patient? I am 22 year old avsd patient

Is smoking and alcohol dangerous for avsd patient? I am 22 year old avsd patient

No smoking!: Smoking is dangerous for anyone, more so if you have had heart surgery! if you choose to drink alcohol, use in moderation. ...Read more

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Discovered our baby has atrioventricular septal defect (avsd). What caused this happen to her?

Discovered our baby has atrioventricular septal defect (avsd). What caused this happen to her?

No cause: Unless there is trisomy 21 there is no cause for avsd's. Nothing that we know of. You have done nothing wrong during pregnancy. ...Read more

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What are the clinical findings of an adult with a partial avsd atrioventicular septal defect? If missed on echo, would there at least be signs?

What are the clinical findings of an adult with a partial avsd atrioventicular septal defect? If missed on echo, would there at least be signs?

Avsd: It is highly unlikely that an atrioventricular septal defect would be missed on echo. A small ASD or vsd might be missed but a defect involving the junction of atrium/ventricles isn't likely to be missed and could have a continuous murmur and might have shortness of breath and arrhythmias. ...Read more

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I received a letter saying my echocardiogram is satisfactory with mild to moderate eccentric m.R through the cleft in left a.Vsurgical repaired avsd?

I received a letter saying my echocardiogram is satisfactory with mild to moderate eccentric m.R through the cleft in left a.Vsurgical repaired avsd?

Wording is strange: I guess you are questioning the word 'satisfactory' in this instance. Folks with that repair often have mitral regurgitation (mr) because the mitral valve is pretty abnormal at birth. Surgery rarely makes all of it go away. So 'mild' isn't bad. Mild/moderate a little more of a concern but usually well tolerated. If the left ventricle is normal sized and you feel well, leave it alone. Follow up. ...Read more

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My 3 m.O. Ds cousin has complete avsd with unbalance ventricle, small pda. Malaysian doc can do nothing. Who, where would u recommend? What's the cost?

Too complex: This is not a good situation, as described. It would require multiple heart operations and still a normal heart would likely not be the end result, even if they were born in the us. The cost would be very high (>$100, 000) for the whole package and would take years with an uncertain, and not normal, outcome. Cost will vary tremendously from institution to institution, but it will still be high. ...Read more

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What are the tests for endocardial cushion defects?

What are the tests for endocardial cushion defects?

Echocardiogram: The echocardiogram is the most commonly used test to determine if the structure of the heart is normal. ...Read more

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What are the symptoms of endocardial cushion defects?

What are the symptoms of endocardial cushion defects?

CHF.: Endocardial cushion defects or a-v canal defects cause a significal left to right intra-cardiac shunt. Increased blood flow to the lungs cause CHF symptoms like increased breathing, failure to thrive, difficulty feeding. ...Read more

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What is the definition or description of: Endocardial cushion defects?

AV septal defects: Endocardial cushion defects, more commonly known as atrioventricular (AV) canal or septal defects, include a range of defects characterized by involvement of the atrial septum, the ventricular septum, and one or both of the AV valves. A complete AV septal defect indicates the presence of both atrial and ventricular septal defects with a common AV valve. ...Read more

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What causes atrioventricular septal defect (avsd) in babies?

Not clear: While avsd is seen associated with trisomy 21 most defects occur spontaneously with no clear cause. ...Read more

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My new born baby has discover with atrioventricular septal defect (avsd). What caused this?

My new born baby has discover with atrioventricular septal defect (avsd). What caused this?

Unknown: The heart is a very complex organ. We still do not fully understand how the normal heart develops in the fetus. We understand even less about what causes the heart to develop abnormally. There are multiple genetic and environmental factors involved. But rest assured, nothing you did caused this heart defect and nothing you could have done would have prevented it. ...Read more

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What am I to expect after infant heart surgery for avsd?

What am I to expect after infant heart surgery for avsd?

Intensive care unit: After surgery for a avsd, your child will be taken to the intensive care unit where he or she will recover. Your child will likely have a breathing tube, on a ventilator, and many have tubes, such as intravenous (IV) and arterial lines that will allow fluid and medication administration and monitoring. The breathing tube and lines will be taken out as your child's condition improves. ...Read more

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Why does a partial or full avsd cause a holosystolic murmur? Is it because associated valve regurgitation? Thanks.

Why does a partial or full avsd cause a holosystolic murmur? Is it because associated valve regurgitation? Thanks.

Typically: Iin an avsd, there will typically be a systolic ejection murmur from increased flow across the pulmonary valve related to pulmonary overcirculation. The vsd shunting will often be low velocity and not produce an audible murmur, so any holosystolic murmur would usually derive from av valve regurgitation, a common problem in this defect. ...Read more

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I have avsd and a hypoplastic right lung. So would it be safe for me to get pregnant?

I have avsd and a hypoplastic right lung. So would it be safe for me to get pregnant?

No!: If you really have an untreated avsd as an adult you likely have pulmonary hypertension and pregnancy poses a high risk to you. Get a cardiologist to check you. Should you have had surgery with no residual defects the risk is low. But a pulmonary function test and pulmonary hypertension should be assessed prior to conception. ...Read more

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Doctor, I'm 33weeks pregnant and from various ultrasound and echoscan, my baby is diagnosed with avsd. How do I prepare myself for baby's birth?

Doctor, I'm 33weeks pregnant and from various ultrasound and echoscan, my baby is diagnosed with avsd. How do I prepare myself for baby's birth?

AV canal: Avsd is atrioventricular septal defect, also known as av canal, or endocardial cushion defect. It requires surgical repair in the first few months of life, but is not generally life threatening at birth. Most babies will go home and grow a month or so and then have open heart surgical repair by a pediatric cardiac surgeon. Most babies come through surgery fine, but may have residual valve issues. ...Read more

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Told innocent murmur after norm echo and ekg. If something was missed, would there be red flags on the echo to prompt more tests? (avsd, asd, vsd etc).

Assuredly yes: "innocent" murmurs are generally systolic flow murmurs most commonly heard in young people with vigorous heart function. ...Read more

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My 14 wk old daughter has had an avsd heart repair 2 was ago. Now has red blotches on chest. Not on scar though. Doc treating for infection but nature?

Independent facors: This could likely be independent things. If the infection was viral (and it can be very hard to tell) then a day or two after the fever breaks, you can get a red rash starting on the torso/abdomen and spreading to the near arms and legs. You may wish to see your doctor to confirm. ...Read more

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My 14 week old daughter had an avsd open heart surgery repair which went well. Now has a red rash around her scar. What could this reddening be?

Multiple Causes: This depends on when the surgery was done. Reddening could be a sign of infection. It could also be part of the normal healing, or simply an irritant rash. Please review this with your child's cardiologist. ...Read more

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Best treatment for alopesia?

Best treatment for alopesia?

Varies with cause: Alopecia can occur from a variety of causes from hair eating to cause unknown. Treatments vary with the cause. ...Read more

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