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The proper development of the atrioventricular canal into its prospective components (The heart septum and associated valves) to create a clear division between the four compartments of the heart and ensure proper blood movement through the heart, are essential for proper heart function. When this process does not happen correctly, a child will develop atrioventricular canal defect which occurs in 2 out of every 10,000 births. It also has a correlation with Down Syndrome because 20% of children with Down Syndrome suffer from atrioventricular canal disease as well. This is a very serious condition and surgery is necessary within the first six months of life for a child. [1] Half of the children who are untreated with this condition die during their first year due to heart failure or pneumonia.[2]

Atrioventricular canal defect is a combination of abnormalities of the heart and is present at birth. There is a problem when there are holes present in the walls that separate chambers (septa),as well as when valves are incorrectly constructed. There are other names for these heart abnormalities such as endocardial cushion defects or atrioventricular septal defect[3]


A photo of the basic anatomical structures of the heart. During normal heart development all four chambers are separated and the mitral and tricupsid valves are properly developed.

In a normal healthy heart there are four chambers. This consists of right and left atria, and right and left ventricles. The right atrium and right ventricle function to pump blood to the lungs while the left atrium and left ventricle pump blood to the rest of the body. There are valves in place that inhibit back-flow between these chambers.[3]

Clinical relevance[edit]

Atrioventricular canal defect[edit]

This is an echocardiography of "Complete" Atriventricular Canal Disorder. There is a clear absence of lower septum that would separate all four chambers of the heart

This defect is developed because of the improper formation of the endocardial cushions, and their job is to separate the different parts of the heart during development when they fuse. It is strongly associated with Down's syndrome. The structures that develop from the fusion of the endocardial cushions are:

Atrioventricular canal defect may be divided into partial or complete forms. In the partial form, openings between the left and right atria and improper formation of the mitral valve exist. In the complete form, there is free movement in all chambers because there is a large hole where the atria and ventricles meet, and instead of there being two valves there is one common valve. [3]

Surgery is usually conducted in-between the 3rd and 6th month of life, and with this condition the earlier the better. Usually, intracardiac repair involves closing the holes in the septum and the creation of two new atrioventricular valves from the underdeveloped common valve leaflet.[2]

See also[edit]


  1. ^ Brown, David MD "Atrioventricular Canal Defect" Children's Hospital Boston 20120 http://www.childrenshospital.org/az/Site521/mainpageS521P0.html
  2. ^ a b Calabro, Raffaele & Limongelli, Giuseppe "Complete Atrioventricular Canal" 2006 April 5, US National Library of Medicine National Institutes of Health http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1459121/
  3. ^ a b c Mayo Clinic September 12, 2012"Atrioventricular Canal Defect" http://www.mayoclinic.com/health/atrioventricular-canal-defect/DS00745
  4. ^ Cincinnati Children's Hospital "Atrioventricular Septal Defect" April 2010 http://www.cincinnatichildrens.org/health/a/avsd/

Original courtesy of Wikipedia: http://en.wikipedia.org/wiki/Atrioventricular_canal — Please support Wikipedia.
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67 news items

People Magazine

People Magazine
Wed, 16 Sep 2015 13:00:31 -0700

A Louisiana mother pleaded guilty to killing her 17-month-old son by injecting hand sanitizer into his feeding tube, the Plaquemines Parish District Attorney's Office tells PEOPLE. Lucas Ruiz was born with Down syndrome and an atrioventricular canal ...

Jamaica Gleaner

Jamaica Gleaner
Sat, 03 Oct 2015 22:03:45 -0700

Chardonnay was born at the University Hospital of the West Indies (UHWI) in 2009 and was diagnosed as having Down's syndrome and atrioventricular canal defect (hole in the heart), among other complications. Following a failed attempt by doctors at the ...

Peoria Independent

Peoria Independent
Thu, 01 Oct 2015 08:56:15 -0700

She was diagnosed with complete atrioventricular canal defect, which is a defect in center of the heart. If left untreated, it can cause heart failure and high blood pressure in the lungs. The operation was a success but it came with a hefty price tag ...


Mon, 21 Sep 2015 06:07:30 -0700

In Louisiana, Erika Wigstrom has pleaded guilty to killing her 17-month-old baby by putting hand sanitizer into his feeding tube. Her son, Lucas Ruiz, was born with Down syndrome and an atrioventricular canal defect, which required that he take in ...

The Inquisitr

The Inquisitr
Sat, 19 Sep 2015 14:06:29 -0700

The sheriff says that Wigstrom admitted to poisoning the toddler with the hand sanitizer because of medical conditions. The child, Lucas Ruiz, was born with Down syndrome and atrioventricular canal defect, a condition that left him with holes in his heart.

Shelbyville Times-Gazette

Shelbyville Times-Gazette
Sat, 27 Jun 2015 22:03:45 -0700

Also known as atrioventricular canal defects or endocardial cushion defects, the conditions account for about five percent of all congenital heart disease, and are most common in infants with Down syndrome. According to Cincinnati Children's Hospital ...

Finger Lakes Times

Finger Lakes Times
Mon, 22 Jun 2015 14:33:45 -0700

“It was really heartwarming.” Colby, who suffered from atrioventricular canal defect, died on the evening of April 30 — just five hours shy of his 12th birthday — at Golisano Children's Hospital in Rochester. In honor of his birthday and his memory ...


Tue, 26 May 2015 08:56:15 -0700

... confocal and time-lapse imaging, the investigators were able to visualize coronary vessels developing from the endocardium, or the inner lining of the heart - specifically from the atrioventricular canal, the structure that divides the heart into ...

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