title: Percutaneous closure of acquired Gerbode defect: management of a rare complication of cardiac surgery.
abstract: Although rare, acquired Gerbode defect (abnormal communication between left ventricle and right atrium) may result as a complication of myocardial infarction, endocarditis as well as aortic or mitral valve replacement resulting in resistant heart failure secondary to significant left to right shunting. We are reporting the case of a 50-year old lady with repeated aortic valve replacement presenting with resistant heart failure secondary to an acquired Gerbode defect. Management of this defect in these high-risk patients may be challenging and percutaneous closure, if feasible, may represent the best management option.
authors.affiliation: Section of Cardiology, Christiana Care Health System, Newark, DE, USA zfanari@christianacare.org zfanari@gmail.com.
authors.forename: Zaher
authors.initials: Z
authors.lastname: Fanari
authors.affiliation: Section of Cardiology, Christiana Care Health System, Newark, DE, USA.
authors.forename: Armin
authors.initials: A
authors.lastname: Barekatain
authors.affiliation: Section of Cardiology, Christiana Care Health System, Newark, DE, USA.
authors.forename: Niksad
authors.initials: N
authors.lastname: Abraham
authors.affiliation: Section of Cardiology, Christiana Care Health System, Newark, DE, USA.
authors.forename: James T
authors.initials: JT
authors.lastname: Hopkins
mesh_terms: D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D000082882:Bicuspid Aortic Valve Disease; D006328:Cardiac Catheterization / Q000295:instrumentation; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000628:therapy; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy*; D012086:Reoperation; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Cardiac surgery; Complication; Gerbode defect; Percutaneous closure
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