title: Gerbode type defect and third degree atrioventricular block in association with bacterial endocarditis in a dog.
abstract: Gerbode type defects are rare left ventricular outflow tract-right atrial communications in people that may be congenital or acquired; they have been reported only once previously in dogs. Acquired forms in humans have been reported secondary to bacterial endocarditis, trauma, and valve replacement surgery, among other causes. We report a case of left ventricular outflow tract to right atrium and right ventricle communications (Gerbode type defect) in association with aortic and tricuspid valve bacterial endocarditis in a geriatric dog. The dog also developed third degree atrioventricular block and had underlying subaortic stenosis. The authors hypothesize that the Gerbode type defect in this case was acquired secondary to invasion and destruction of the membranous interventricular septum due to bacterial endocarditis.
authors.affiliation: Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. peddle@vet.upenn.edu
authors.forename: Gordon D
authors.initials: GD
authors.lastname: Peddle
authors.forename: Lore
authors.initials: L
authors.lastname: Boger
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Van Winkle
authors.forename: Mark A
authors.initials: MA
authors.lastname: Oyama
mesh_terms: D000818:Animals; D054537:Atrioventricular Block / Q000209:etiology / Q000662:veterinary*; D004283:Dog Diseases / Q000382:microbiology / Q000473:pathology*; D004285:Dogs; D004697:Endocarditis, Bacterial / Q000150:complications / Q000382:microbiology / Q000473:pathology / Q000662:veterinary*; D017809:Fatal Outcome; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000382:microbiology / Q000473:pathology / Q000662:veterinary; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000382:microbiology / Q000473:pathology / Q000662:veterinary*; D008297:Male