Education for families living with congenital heart conditions
Choose an explanation

Your child’s diagnosis

Atrioventricular septal defect (AVSD)

Your Journal

01

How blood flows

Atrioventricular septal defect (AVSD)

The same region in both views. The usual view is a comparison, not a treatment result.

Follow the connections

Complete AVSD · walls and valve differ

Complete AVSD · walls and valve differA simplified complete AVSD before repair. The common AV valve is represented by one shared region; its leaflets and any regurgitation are not drawn in detail. This is not partial or unbalanced AVSD. Flow is a common postnatal example, not fixed oxygen levels. Structural focus: Right atrium, Left atrium, Right ventricle, Left ventricle, septum, Open centre. Arrows show direction. This diagram does not measure blood flow, oxygen levels or severity. BodyBodyRight atriumRARight ventricleRVLeft atriumLALeft ventricleLVLungsLungsShared AV valve
  • Less oxygen
  • Mixed blood
  • More oxygen
RA Right atriumRV Right ventricleLA Left atriumLV Left ventricle

Step 1 of 4

The centre is not fully divided

In complete AVSD, the dividing walls do not fully meet where the four chambers come together. The open centre is part of these chambers, not an extra room.

How to read this map

Follow the arrows to see connections. This is a map, not the shape or position of a heart. Both sides work together; the story follows one part at a time. A crossing with a white gap is not a connection; a dot marks a junction. With story controls focused, use left/right arrows, Home or End.

A simplified complete AVSD before repair. The common AV valve is represented by one shared region; its leaflets and any regurgitation are not drawn in detail. This is not partial or unbalanced AVSD. Flow is a common postnatal example, not fixed oxygen levels.

Colours describe this example: blue means less oxygen, red more oxygen, and purple mixing. Blood is always red in real life. Line widths and animation do not measure flow, pressure, oxygen saturation or severity.

Atrioventricular septal defect (AVSD)

  1. The centre is not fully divided. In complete AVSD, the dividing walls do not fully meet where the four chambers come together. The open centre is part of these chambers, not an extra room.
  2. The valve is shared. A common atrioventricular (AV) valve spans both sides instead of two separate valves between upper and lower chambers. It may also leak.
  3. Blood can cross towards the right. After birth, blood usually crosses from left to right through the atrial and ventricular parts of the opening. Pressures and other heart differences can change this.
  4. Extra blood travels through the lungs. The right ventricle sends the extra blood to the lungs. It returns to the left side, adding to the circulation the heart and lungs handle.

A simplified complete AVSD before repair. The common AV valve is represented by one shared region; its leaflets and any regurgitation are not drawn in detail. This is not partial or unbalanced AVSD. Flow is a common postnatal example, not fixed oxygen levels.

02

Diagnosis and care

Diagnosis and tests

AVSD may be found during pregnancy or after birth. Complete AVSD can cause feeding difficulties, fast breathing, sweating or poor growth in a baby. Partial forms may be found later. A doctor may hear a murmur, an extra sound during the heartbeat, or investigate another concern. AVSD is linked with Down syndrome, but children without Down syndrome can have it too.

An echocardiogram, or echo, is an ultrasound scan of the heart. It shows the openings, the valve and how well the chambers pump. An ECG records the heart’s electrical signals. Other tests may answer further questions. Checking growth and breathing helps the team see the effects on daily life.

Ask whether both lower pumping chambers, called ventricles, are well developed and whether there are other heart differences.

Care and follow-up

Surgery is usually needed to close the openings and repair the valve. Medicines or feeding support may help before surgery. The timing and type of operation depend on how the heart is formed and the child’s health. Some children need more valve treatment later. Ask the team to explain this possibility for your child.

Complete, partial and intermediate AVSD describe different forms of the condition. The size of the pumping chambers and the amount of valve leakage can change the care plan. After surgery, checks look at the valve, any remaining openings and the pattern of heartbeats. These checks remain important even when a child feels well.

Daily life

Ask for the full name of the diagnosis and a drawing showing the valves. If your child has additional health or developmental needs, ask how the heart team and other services will coordinate care, appointments, feeding advice and support for school.

03

Questions to ask

Save the questions you want to take to your next appointment. You can edit them in your Journal.

  • Which form of AVSD does our child have, and could you show us where the openings are on a drawing?
  • Is there any valve leakage in our child’s heart, and how does it affect the care they need?
  • Are both ventricles, the lower pumping chambers, well developed, and does their size change the treatment plan?
  • What will the operation aim to change in our child’s heart, and what might still need attention afterwards?
  • What will you check after treatment, and how will you explain any changes in the valve or blood flow to us?
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Sources and review

Sources checked 13 October 2026. Independent clinical review pending.