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AVSD Repair Timing — RACP Paediatrics MCQ

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ModerateCardiologyAVSD Repair TimingRACP Paediatrics

A neonate with Down syndrome has a complete AVSD and develops moderate pulmonary hypertension. What is the target age for surgical repair?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E3-6 months

Complete AVSD in Down syndrome should be repaired by 3-6 months of age due to the accelerated development of pulmonary vascular disease in this population. Earlier repair may be needed if heart failure is difficult to control medically.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: AVSD