Key result
Acquired Gerbode defect presents with severe dyspnea two decades after tetralogy of Fallot repair.
Why the study?
Very few cases of acquired Gerbode defect have been previously reported, especially long after tetralogy of Fallot repair.
Case Report (n=1)
Highlights the rare possibility of an acquired Gerbode defect developing decades after surgical repair of tetralogy of Fallot.
Supports consideration of acquired Gerbode defect in late dyspnea after TOF repair; leaves open true incidence and screening needs.
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.
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Ambesh et al. (2019) conducted a case report in Acquired Gerbode defect post-tetralogy of Fallot repair (n=1). Tetralogy of Fallot repair was evaluated on Development of Gerbode defect. A patient developed an acquired Gerbode defect presenting with severe dyspnea two decades after undergoing repair of tetralogy of Fallot.
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