Partial atrioventricular septal defect in infancy: don’t we need to know more?

To the Editor The paper by Krupickova and colleagues, recently published in Heart 1, exemplifies the resurgence of interest for the management of partial atrioventricular (AV) septal defect, an anomaly commonly thought to have excellent early and late survival.2 Alas, even simple things may conceal the risk of failure. The pioneering work of Manning and colleagues3 showed that patients with partial AV septal defect may be severely symptomatic in infancy and have an ominous outcome. We contributed to these concepts reporting our similar, unsatisfactory experience …