PedsCrit cover image

PedsCrit

Atrioventricular Septal Defects with Dr. Melinda Cory

Dec 19, 2022
Dr. Melinda Cory, Assistant Professor of Pediatrics at UT Southwestern Medical Center, discusses atrioventricular septal defects (AVSDs) and their management. Topics covered include the decision to become double-boarded in cardiology and critical care, AVSD classification and terminology, post-operative management for children with trisomy 21 and AVSDs, timing of excavation and barriers to discharge in cardiac ICU patients, and monitoring complications for children with AVSDs.
32:45

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • In postoperative care for atrioventricular septal defects, isotropic support and afterload reduction are key, and monitoring for AV valve regurgitation and heart block is crucial.
  • Choosing between different repair options for AV canal defects depends on achieving equal-sized AV valves and considering the potential need for future 2v or 1.5v repairs.

Deep dives

Management of Complete AV Canal Defects

One of the mainstays of management post-op is isotropic support and afterload reduction. Patients with balanced complete AV canal defects typically undergo repair around 3 to 4 months of age. Inotropic support and careful volume resuscitation are important during post-op care. AV valve regurgitation and potential heart block should be monitored. Trisomy 21 is strongly associated with complete AV canal defects and may require special attention. Long-term follow-up includes assessing ventricular function, AV valve regurgitation, and the risk of LVOT obstruction.

Get the Snipd
podcast app

Unlock the knowledge in podcasts with the podcast player of the future.
App store bannerPlay store banner

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

Save any
moment

Hear something you like? Tap your headphones to save it with AI-generated key takeaways

Share
& Export

Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode