Key result
Surgical closure of an acquired Gerbode defect and reconstruction of the tricuspid valve using an autologous pericardial patch resulted in successful repair with no residual shunt at one-year follow-up.
Case Report (n=1)
Surgical repair of acquired Gerbode defect following tricuspid valve endocarditis is feasible and results in excellent outcomes, though percutaneous transcatheter closure remains an option for high-risk patients.
Surgical repair of acquired Gerbode defect appears feasible; leaves open the role of transcatheter closure in high-risk patients.
The Gerbode's defect is a communication between the left ventricle and right atrium. It is usually congenital, but rarely is acquired, as a complication of endocarditis, myocardial infarction, trauma, or after previous cardiac surgery. The acquired Gerbode defect with involvement of the tricuspid valve acquired after bacterial endocarditis can be challenging to repair. We present a rare case of young woman, with endocarditis of the tricuspid valve and acquired Gerbode defect without previous cardiac surgery. She underwent successful surgical closure of the Gerbode defect and reconstruction of the septal leaflet of the tricuspid valve using a an autologous pericardial patch. A total of 20 other cases were reported with acquired Gerbode defect due to endocarditis in patients without previous cardiac surgery. Three other cases presented acquired Gerbode defect due to myocardial infarction and two due to chest trauma. Another series of 62 patients presented acquired Gerbode defect after previous cardiac surgery. Surgical treatment is always feasible with excellent outcome. However the percutanous transcatheter closure remains an excellent option especially in high risk patients.
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Prifti et al. (2015) conducted a case report in Acquired Gerbode defect following tricuspid valve endocarditis (n=1). Surgical closure and tricuspid valve reconstruction was evaluated on Clinical outcome and residual shunt. Surgical closure of an acquired Gerbode defect and reconstruction of the tricuspid valve using an autologous pericardial patch resulted in successful repair with no residual shunt at one-year follow-up.