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Atrioventricular canal defect is a combination of heart problems resulting in a defect in the center of the heart. The condition occurs when there's a hole between the heart's chambers and problems with the valves that regulate blood flow in the heart. The condition is often associated with Down syndrome. Atrioventricular canal defect allows extra blood to flow to the lungs. Untreated, atrioventricular canal defect can cause heart failure and high blood pressure in the lungs.
The male-to-female distribution of atrioventricular septal defect is approximately equal.The incidence of atrioventricular septal defect is higher among stillborn infants, likely due to the higher number of chromosomal and other genetic anomalies in this group .Congenital heart disease is present in 44% of affected infants, and atrioventricular canal defects are present in 45% of infants with Down syndrome and congenital heart disease.
Patients with incomplete atrioventricular septal defects (AVSDs) present with signs and symptoms similar to those of secundum atrial septal defects (ASDs) and, as such, rarely require medical therapy. Medical therapy in patients with complete atrioventricular septal defects consists of aggressive anticongestive treatment for the signs and symptoms of congestive heart failure (CHF). The mainstays of medical therapy are furosemide (for diuresis for the volume-overloaded heart), digoxin (as a mild inotrope), and ACE inhibitors (for afterload reduction).
