Gerbode defect following surgical mitral valve replacement and tricuspid valve repair: a case report

Abstract Background Gerbode defect is a congenital or acquired communication between the left ventricle and right atrium. While the defect is becoming a more well-recognized complication of cardiac surgery, it presents a diagnostic and therapeutic challenge for providers. This case highlights the pr...

Full description

Saved in:
Bibliographic Details
Published in:European heart journal : case reports 2021-02, Vol.5 (2), p.ytaa534
Main Authors: Haraf, Rebecca H, Karnib, Mohamad, El Amm, Chantal, Plummer, Sarah, Bocks, Martin, Sabik, Ellen M
Format: Article
Language:English
Subjects:
Cardiology
Case Report
Diagnosis
Genetic disorders
Health aspects
Heart
Heart valve diseases
Radiation
Risk factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Background Gerbode defect is a congenital or acquired communication between the left ventricle and right atrium. While the defect is becoming a more well-recognized complication of cardiac surgery, it presents a diagnostic and therapeutic challenge for providers. This case highlights the predisposing factors and imaging features that may assist in the diagnosis of Gerbode defect, as well as potential approaches to treatment. Case summary We report a patient with severe mitral stenosis as a result of remote mediastinal radiation who underwent extensive decalcification during surgical mitral valve replacement and tricuspid valve repair. Following the procedure, he developed progressive heart failure refractory to medical management. Extensive workup ultimately led to the diagnosis of iatrogenic acquired Gerbode defect. Close collaboration between adult cardiology, cardiothoracic surgery, and the congenital cardiology services led to an optimal treatment plan involving percutaneous closure of the defect. Discussion Gerbode defect is a rare complication of invasive procedures involving the interventricular septum or its nearby structures. An understanding of the key echocardiographic features will aid providers in timely diagnosis. Percutaneous repair should be strongly considered for patients who may be poor surgical candidates.
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytaa534