Acquired Gerbode defect following endocarditis of the tricuspid valve: a case report and literature review

The Gerbode's defect is a communication between the left ventricle and right atrium. It is usually congenital, but rarely is acquired, as a complication of endocarditis, myocardial infarction, trauma, or after previous cardiac surgery. The acquired Gerbode defect with involvement of the tricusp...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2015-09, Vol.10 (112), p.115-115, Article 115
Main Authors: Prifti, Edvin, Ademaj, Fadil, Baboci, Arben, Demiraj, Aurel
Format: Article
Language:English
Subjects:
Adult
Care and treatment
Communication
Complications and side effects
Defects
Electrocardiography
Endocarditis
Endocarditis, Bacterial - complications
Female
Heart Atria - surgery
Heart attacks
Heart Septal Defects, Ventricular - etiology
Heart Septal Defects, Ventricular - surgery
Heart surgery
Heart Ventricles - surgery
Humans
Hypertension
Literature reviews
Mortality
Postoperative period
Review
Risk factors
Tricuspid Valve - surgery
Vegetation
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Summary:The Gerbode's defect is a communication between the left ventricle and right atrium. It is usually congenital, but rarely is acquired, as a complication of endocarditis, myocardial infarction, trauma, or after previous cardiac surgery. The acquired Gerbode defect with involvement of the tricuspid valve acquired after bacterial endocarditis can be challenging to repair. We present a rare case of young woman, with endocarditis of the tricuspid valve and acquired Gerbode defect without previous cardiac surgery. She underwent successful surgical closure of the Gerbode defect and reconstruction of the septal leaflet of the tricuspid valve using a an autologous pericardial patch. A total of 20 other cases were reported with acquired Gerbode defect due to endocarditis in patients without previous cardiac surgery. Three other cases presented acquired Gerbode defect due to myocardial infarction and two due to chest trauma. Another series of 62 patients presented acquired Gerbode defect after previous cardiac surgery. Surgical treatment is always feasible with excellent outcome. However the percutanous transcatheter closure remains an excellent option especially in high risk patients.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-015-0320-z