Key result
Reoperative aortic valve replacement for restenosis of a prior bioprosthetic aortic valve was complicated by a unique iatrogenic Gerbode defect with concurrent LV-LA communication.
Case Report (n=1)
This case highlights the potential for a unique iatrogenic Gerbode defect with concurrent LV-LA communication as a complication of reoperative aortic valve replacement.
Alerts clinicians to rare post-reoperative AVR shunts; extends the spectrum of iatrogenic Gerbode defects.
The Gerbode defect was first described in the late 1950s as a congenital peri-membranous ventricular septal defect (VSD), resulting in a left to right ventriculoatrial shunt. We present a case of a patient with restenosis of a prior bioprosthetic aortic valve (AV) who underwent reoperative AV replacement (AVR), which was complicated by a unique iatrogenic Gerbode defect with concurrent LV-LA communication. Our case highlights the unique complications resulting from ventriculoatrial shunts, with consideration paid to the management of ventriculoatrial defects described.
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Shuaib et al. (2022) conducted a case report in Iatrogenic biatrial Gerbode defect (n=1). Reoperative aortic valve replacement was evaluated. Reoperative aortic valve replacement for restenosis of a prior bioprosthetic aortic valve was complicated by a unique iatrogenic Gerbode defect with concurrent LV-LA communication.
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