title: Gerbode-type left ventricular outflow tract to right atrial fistula complicating prosthetic aortic valve replacement identified by cardiac computed tomographic angiography.
abstract: Acquired left ventricular-right atrial communication (Gerbode-type defect) is a rare complication of infective endocarditis. Although transesophageal echocardiography remains the technique of choice for the evaluation of complications of endocarditis this case highlights the usefulness of cardiac computed tomography in this scenario, particularly in cases where assessment of coronary anatomy is required before surgery.
authors.affiliation: Department of Cardiology, Consorcio Hospital General Universitario de Valencia, Avda Tres Cruces 2, 46014 Valencia, Spain.
authors.forename: Bruno
authors.initials: B
authors.lastname: Bochard-Villanueva
authors.forename: Oscar
authors.initials: O
authors.lastname: Fabregat-Andrés
authors.forename: Jordi
authors.initials: J
authors.lastname: Estornell-Erill
authors.forename: Rafael
authors.initials: R
authors.lastname: Payá-Serrano
authors.forename: Francisco
authors.initials: F
authors.lastname: Ridocci-Soriano
mesh_terms: D001021:Aortic Valve / Q000601:surgery; D017023:Coronary Angiography / Q000379:methods*; D003937:Diagnosis, Differential; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D014057:Tomography, X-Ray Computed / Q000379:methods*