title: Left ventricular to right atrial communication (Gerbode-type defect) after mitral valve replacement.
abstract: A 51-year-old woman with severe rheumatic mitral stenosis underwent mitral valve replacement. One week later, she was admitted with abdominal pain and lower extremities edema. On physical examination, her blood pressure was 120/60 mm Hg and holosystolic murmur (3/6) was heard at the left sternal border. Transesophageal echocardiography was done and revealed a shunt flow from the left ventricle to the right atrium in the 4-chamber and bicaval views. With careful examination of the interventricular septum, a small defect was seen in the membranous interventricular septum, which connects the left ventricle to the right atrium. The patient underwent surgical operation with diagnosis of iatrogenic left ventricular to right atrial communication (Gerbode-type defect). Intraoperative finding confirmed the preoperative diagnosis.
authors.affiliation: Cardiology Department, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Ali Reza
authors.initials: AR
authors.lastname: Moaref
authors.forename: Amir
authors.initials: A
authors.lastname: Aslani
authors.forename: Mahmood
authors.initials: M
authors.lastname: Zamirian
authors.forename: Mohammed Bagher
authors.initials: MB
authors.lastname: Sharifkazemi
mesh_terms: D005260:Female; D006325:Heart Atria / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging* / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D014463:Ultrasonography