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Ann Card Anaesth. 2019 Jul-Sep;22(3):334-336. doi: 10.4103/aca.ACA_118_18.

Gerbode defect formation two decades after tetrology of fallot repair.

Author information

1
Department of Internal Medicine, Maimonides Medical Center, New York City, NY, USA.
2
SUNY Downstate Medical Center, New York City, NY, USA.
3
Department of Cardiology, Era Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
4
Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
5
Department of Cardiology, Maimonides Medical Center, New York City, NY, USA.

Abstract

Although most intracardiac defects are congenital, a small fraction may be acquired during life. The Gerbode defect is an abnormal anatomical connection between the left ventricle and the right atrium. We describe herein a patient who initially underwent repair of tetralogy of Fallot (TOF). Years after TOF repair, he developed severe dyspnea. Extensive evaluation revealed that he had developed a Gerbode defect. Very few cases of acquired Gerbode defect have been previously reported. Management options are predominantly surgical interventions.

KEYWORDS:

Gerbode defect; tetralogy of Fallot; ventricular septal defect

PMID:
31274502
DOI:
10.4103/aca.ACA_118_18

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