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European Journal of Echocardiography Advance Access originally published online on April 21, 2009
European Journal of Echocardiography 2009 10(4):579-581; doi:10.1093/ejechocard/jep035
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Uncommon acquired Gerbode defect (left ventricular to right atrial communication) following a tricuspid annuloplasty without concomitant mitral surgery

Réza Dadkhah1,*, Alain Friart1, Jean-Louis Leclerc2, Mickaël Moreels1, David Haberman1 and Fabienne Lienart3

1 Division of Cardiology, Tivoli University Hospital, Max Buset Avenue 34, 7100 La Louviere, Belgium
2 Division of Cardiac Surgery, Tivoli University Hospital, La Louviere, Belgium
3 Division Internal Medecine, Tivoli University Hospital, La Louviere, Belgium

Received 26 December 2008; accepted after revision 22 March 2009.

* Corresponding author. Tel: +32 64 27 76 50. E-mail address: dadkhah{at}hotmail.com


  Abstract

Left ventricular (LV) to right atrial (RA) communication, also known as Gerbode defect, is very rare, usually congenital but sometimes also acquired. Cases of Gerbode defect have been reported after left valve surgery, usually valve replacement. We describe the first case of LV–RA communication following a tricuspid annuloplasty not combined to a left valve surgery. The case we report concerns a 73-year-old woman who underwent a double-valve surgery (pulmonary valve replacement and tricuspid annuloplasty) for symptomatic severe right heart failure due to post-endocarditis pulmonary valve regurgitation. A LV–RA shunt was discovered 1 year after surgery. This case report confirms the responsibility of a tricuspid annuloplasty in an acquired LV–RA shunt.

Keywords: Valve disease; Tricuspid valve annuloplasty; Gerbode defect


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