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Updated: Jul 11, 2026
07:41
Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Left ventricular to right atrial communication (Gerbode-type defect) after mitral valve replacement
Ali Reza Moaref1, Amir Aslani, Mahmood Zamirian
1Cardiology Department, Shiraz University of Medical Sciences, Shiraz, Iran.
Summary
A patient developed a rare complication after mitral valve replacement: an iatrogenic left ventricular to right atrial communication, also known as a Gerbode-type defect. This shunt required surgical correction.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Imaging
Background:
- Rheumatic mitral stenosis necessitates mitral valve replacement surgery.
- Post-operative complications can arise, impacting cardiac function and hemodynamics.
Observation:
- A 51-year-old woman presented with abdominal pain and edema one week after mitral valve replacement.
- Physical examination revealed a new holosystolic murmur.
- Transesophageal echocardiography demonstrated abnormal blood flow from the left ventricle to the right atrium.
Findings:
- A small defect in the membranous interventricular septum was identified, creating a left ventricular to right atrial communication.
- The condition was diagnosed as an iatrogenic Gerbode-type defect.
- Intraoperative findings confirmed the diagnosis of a surgically created ventricular septal defect.
Implications:
- Prompt diagnosis and surgical intervention are crucial for managing iatrogenic Gerbode-type defects.
- This case highlights the importance of vigilant post-operative monitoring for rare cardiac complications.
- Understanding and recognizing these defects can improve patient outcomes following cardiac surgery.
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