Rastelli Classification and AVCD Overview

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Questions and Answers

What Rastelli classification is this?

Type A: Chordal attachment to crest of the IVS

What Rastelli classification is this?

Rastelli Type B: Chordal attachment to papillary muscle in RV

What Rastelli classification is this?

Rastelli type C: Free floating leaflet with attachments to pap muscles in both RV and LV with no septal attachment

What three things does complete AVCD include?

<p>Osmium primum defect, Non-restrictive inlet VSD, Common atrioventricular valve</p> Signup and view all the answers

What three things does a transitional/intermediate AVCD include?

<p>Osmium primum defect, Restrictive inlet VSD, 2 AV valves</p> Signup and view all the answers

What two things does a partial/incomplete AVCD include?

<p>Osmium primum defect, No VSD</p> Signup and view all the answers

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Study Notes

Rastelli Classification

  • Type A involves a chordal attachment to the crest of the interventricular septum (IVS).
  • Type B features chordal attachment to the papillary muscle located in the right ventricle (RV).
  • Type C describes a free-floating leaflet, with attachments to papillary muscles in both the right ventricle and left ventricle, lacking any septal attachment.

Complete Atrioventricular Canal Defect (AVCD)

  • Characterized by the presence of an ostium primum defect.
  • Involves a non-restrictive inlet ventricular septal defect (VSD).
  • Features a common atrioventricular valve, which serves both ventricular chambers.

Transitional/Intermediate AVCD

  • Also includes an ostium primum defect.
  • Contains a restrictive inlet VSD, which limits blood flow.
  • Composed of two distinct atrioventricular valves, differentiating it from complete AVCD.

Partial/Incomplete AVCD

  • Defined by the presence of an ostium primum defect.
  • Lacks a ventricular septal defect (VSD), distinguishing it from both complete and transitional forms.

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