The mirror image of Gerbode defect: acquired right ventricular-to-left atrial communication

J Cardiovasc Med (Hagerstown). 2016 Dec:17 Suppl 2:e212-e213. doi: 10.2459/JCM.0000000000000125.

Abstract

: Left ventricular-to-right atrial communication, known as Gerbode defect, is rare. However, right ventricular-to-left atrial communication is much rarer. We present a case of a middle-aged woman with a past history of primum atrial septal defect surgery who presented with dyspnea on exertion. Echocardiographic studies showed dehiscence of the pericardial atrial patch from atrioventricular junction, causing a right ventricular-to-left atrial communication with bidirectional shunt. A three-dimensional transesophageal echocardiographic reconstruction revealed a defect of septal tricuspid valve leaflet. In atrioventricular septal defect, the apical displacement of mitral valve insertion, together with a congenital defect of septal tricuspid valve leaflet, contributes to predisposing conditions for this communication.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Surgical Procedures / adverse effects*
  • Coronary Circulation
  • Dyspnea / etiology
  • Echocardiography, Doppler, Color
  • Echocardiography, Three-Dimensional
  • Echocardiography, Transesophageal
  • Female
  • Heart Atria / diagnostic imaging
  • Heart Atria / physiopathology
  • Heart Atria / surgery*
  • Heart Septal Defects, Ventricular / diagnostic imaging
  • Heart Septal Defects, Ventricular / physiopathology
  • Heart Septal Defects, Ventricular / surgery*
  • Heart Ventricles* / diagnostic imaging
  • Heart Ventricles* / physiopathology
  • Heart Ventricles* / surgery
  • Hemodynamics
  • Humans
  • Middle Aged
  • Treatment Outcome
  • Tricuspid Valve / abnormalities*
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / physiopathology
  • Tricuspid Valve / surgery
  • Tricuspid Valve Insufficiency / etiology

Supplementary concepts

  • Partial atrioventricular canal