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Updated: May 11, 2026
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Concomitant Gerbode-like defect and anterior mitral leaflet perforation after aortic valve replacement for
Cüneyt Toprak1, Gokhan Kahveci, Suzan Akpinar
1Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey.
Echocardiography (Mount Kisco, N.Y.)
|May 29, 2013
Summary
A rare cardiac complication involving a left ventricle to right atrial shunt and mitral leaflet perforation occurred post-surgery. Intraoperative transesophageal echocardiography is crucial for detecting such valvular surgical defects.
Area of Science:
- Cardiology
- Cardiac Surgery
- Echocardiography
Background:
- Bicuspid aortic valve disease can lead to infective endocarditis, necessitating aortic valve replacement.
- Post-operative complications following cardiac surgery require vigilant monitoring and diagnostic tools.
Observation:
- A 32-year-old male developed a concomitant left ventricle to right atrial shunt (Gerbode-like defect) and anterior mitral leaflet perforation.
- These complications arose after aortic valve replacement surgery for infective endocarditis of a bicuspid aortic valve.
Findings:
- The case highlights a rare combination of cardiac defects occurring post-aortic valve replacement.
- Intraoperative transesophageal echocardiography identified the Gerbode-like defect and mitral leaflet perforation.
Implications:
- Intraoperative transesophageal echocardiography is essential for the timely diagnosis of complex valvular surgical complications.
- This case underscores the importance of advanced imaging in managing patients undergoing aortic valve surgery, particularly those with pre-existing valve abnormalities or endocarditis.
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