Uncommon acquired Gerbode defect (left ventricular to right atrial communication) following a tricuspid annuloplasty without concomitant mitral surgery.
Left ventricular (LV) to right atrial (RA) communication, also known as Gerbode defect, is very rare, usually congenital but sometimes also acquired. Cases of Gerbode defect have been reported after left valve surgery, usually valve replacement. We describe the first case of LV-RA communication following a tricuspid annuloplasty not combined to a left valve surgery. The case we report concerns a 73-year-old woman who underwent a double-valve surgery (pulmonary valve replacement and tricuspid annuloplasty) for symptomatic severe right heart failure due to post-endocarditis pulmonary valve regurgitation. A LV-RA shunt was discovered 1 year after surgery. This case report confirms the responsibility of a tricuspid annuloplasty in an acquired LV-RA shunt.
Dadkhah
Réza
R
Division of Cardiology, Tivoli University Hospital, Max Buset Avenue 34, 7100 La Louviere, Belgium. dadkhah@hotmail.com
Friart
Alain
A
Leclerc
Jean-Louis
JL
Moreels
Mickaël
M
Haberman
David
D
Lienart
Fabienne
F
D000368:Aged; D001783:Blood Flow Velocity; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006343:Heart Septal Defects / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D054160:Systolic Murmurs; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000601:surgery*