AV septal defect - Endocardial cushion defect

Question 1

Most common Congenital cardiac anomaly in Down syndrome

Answer 1

AV septal defect - Endocardial cushion defect

Question 2

AV septal defect abnormalities?

Answer 2

ASD + VSD + AV valves abnormalities (tricuspid+mitral )

Question 3

Diagnosis

Answer 3

Diagnosis - Echo
- ECG: RV hypertrophy, RAD
- CXR: Cardiomegaly, pulmonary
vessel marking increase

Question 4

Treatment

Answer 4

• Supportive
  [Diuretics – decrease afterload ]
  Surgery is definitive

Question 5

cause of Death without surgery

Answer 5

HF

Question 6

cause of Death with surgery

Answer 6

→ arrhythmia, Congenital heart Block