title: Concomitant Gerbode-like defect and anterior mitral leaflet perforation after aortic valve replacement for endocarditis.
abstract: We present a case of concomitant left ventricle (LV) to right atrial shunt (Gerbode-like defect) and anterior mitral leaflet perforation in a 32-year-old male after aortic valve replacement for infective endocarditis of bicuspid aortic valve. This case emphasises that intra-operative transesophageal echocardiography is a sine qua non for valvular surgical procedures.
authors.affiliation: Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
authors.forename: Cüneyt
authors.initials: C
authors.lastname: Toprak
authors.forename: Gokhan
authors.initials: G
authors.lastname: Kahveci
authors.forename: Suzan
authors.initials: S
authors.lastname: Akpinar
authors.forename: Mehmet Mustafa
authors.initials: MM
authors.lastname: Tabakçi
authors.forename: Yeliz
authors.initials: Y
authors.lastname: Güler
mesh_terms: D000328:Adult; D001025:Aortitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D004696:Endocarditis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000293:injuries*; D016896:Treatment Outcome; D014463:Ultrasonography; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging* / Q000209:etiology*
keywords: aortic valve replacement; echocardiography; mitral regurgitation; shunt