We report the case of a 14-month-old female patient with a complete atrioventricular canal, phenotypically non-syndromic, who on admission presented a positive real-time (Polymerase chain reaction) PCR test for SARS-CoV-2, the novel virus that causes the COVID-19 pandemic, current context where much is still unknown regarding its clinical outcome and proper management, particularly in pediatric patients with pre-existing cardiac conditions. Atrioventricular septal defect is a complex congenital heart disease strongly associated with Down syndrome, characterized by a malformation during the development of the heart cross (crux cordis) or atrioventricular area. She is discharged with a referral to Cardiology. Despite her condition, the patient did not develop severe COVID-19 illness.
Calabrò R, Limongelli G. Complete atrioventricular canal. Orphanet Orphanet J. Rare Dis. 2006;1(1).
Orejón de Luna G, Fernández Rodriguez M. Bronquiolitis aguda. Rev Pediatr Aten Primaria Supl. 2012;(21):45-9.
Mallol J. ASMA DEL LACTANTE: ACTUALIZACIÓN. RMCLC. 2017;28(1):37-44.
Pugnaloni F, Digilio MC, Putotto C, De Luca E, Marino B, Versacci P. Genetics of atrioventricular canal defects. Ital J Pediatr. 2020 May 13;46(1):61.
Gómez, J., Vallejo, C., Sierra, K., & Cabrera, C. Diagnóstico ecográfico de los defectos fetales del canal auriculoventricular. Rev Latin Perinat. 2019. 22(1), 63-9.
Sotillo-Lindo J. Prevalencia y perfil de cardiopatías congénitas en pacientes con Síndrome de Down. Hospital de Especialidades Pediátricas Omar Torrijos Herrera. 2011-2018. Pediátr Panamá 20209(2)37-40. DOI: 10.37980/im.journal.rspp.20201695
Atz, Andrew M., et al. "Surgical management of complete atrioventricular septal defect: associations with surgical technique, age, and trisomy 21." J. Thorac. Cardiovasc. Surg. 2011 141(6):1371-1379.
Vázquez-Antona, C. A., Muñoz-Castellanos, L., Roldán, F. J., Erdmenger Orellana, J., Romero Cárdenas, Á., & Vargas-Barrón, J. Espectro anatómico entre el defecto de la tabicación atrioventricular completo y parcial: Evaluación con ecocardiografía bi y tridimensional. Arch. Cardiol. Mex. 2008. 78(1), 40-51.
Rao P, Harris A. Recent advances in managing septal defects: ventricular septal defects and atrioventricular septal defects. F1000Research. 2018;7:498.
Asamblea Nacional de Panamá. Ley N° 77. Programa nacional permanente de prevención, diagnóstico y atención integral oportuna para los pacientes con cardiopatías congénitas. 2019. Legislación. Gaceta Oficial de Panamá