Uncommon acquired Gerbode defect following extensive bicuspid aortic valve endocarditis.

Cardiovascular Ultrasound
Hélder DoresMiguel Mendes

Abstract

Gerbode defect is a rare type of left ventricle to right atrium shunt. It is usually congenital in origin, but acquired cases are also described, mainly following infective endocarditis, valve replacement, trauma or acute myocardial infarction. We report a case of a 50-year-old man who suffered an extensive and complex infective endocarditis involving a bicuspid aortic valve, the mitral-aortic intervalvular fibrosa and the anterior leaflet of the mitral valve. After dual valve replacement and annular reconstruction, a shunt between the left ventricle and the right atrium--Gerbode defect, and a severe leak of the mitral prosthesis were detected. Reintervention was performed with successful shunt closure with an autologous pericardial patch and paravalvular leak correction. No major complications occurred denying the immediate post-surgery period and the follow-up at the first year was uneventful.

References

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Oct 6, 2010·Cardiovascular Ultrasound·Nereida XhabijaFatmir Sula

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Citations

Dec 4, 2012·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Ulrike M MüllerGerhard C Schuler
Feb 15, 2015·The International Journal of Cardiovascular Imaging·Tuncay TaskesenEdward Allen Gill

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