Gerbode defect and multivalvular dysfunction: Complex complications in adult congenital heart disease

Echocardiography
Catarina RuivoJoão Morais

Abstract

We report a clinical case of a 40-year-old male with surgically corrected congenital heart disease (CHD) 10 years earlier: closure of ostium primum, mitral annuloplasty, and aortic valve and root surgery. The patient was admitted with acute heart failure. Transesophageal echocardiography (TEE) revealed a dysmorphic and severely incompetent aortic valve, a partial tear of the mitral valve cleft repair and annuloplasty ring dehiscence. A true left ventricular-to-right atrial shunt confirmed a direct Gerbode defect. The authors aim to discuss the diagnostic challenge of adult CHD, namely the key role of TEE on septal defects and valve regurgitations description.

References

Aug 31, 2010·European Heart Journal·Helmut BaumgartnerUNKNOWN ESC Committee for Practice Guidelines (CPG)
Jul 4, 2012·Circulation·Negareh MousaviRon Blankstein
Apr 7, 2015·Interactive Cardiovascular and Thoracic Surgery·Zaher FanariJames T Hopkins

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