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Transcatheter closure of iatrogenic Gerbode defect with an Amplatzer duct occluder in a 23-year-old patient

Seifollah Abdi1, Mahmud Momtahen1, Omid Shafe1

  • 1Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran.

Journal of Cardiology Cases
|December 8, 2018
PubMed

Insights

A rare Gerbode-type ventricular septal defect occurred after heart valve surgery. Percutaneous closure successfully treated the defect, resolving the patient's symptoms of hematuria and hemolysis.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Iatrogenic Gerbode-type ventricular septal defects (VSDs) are uncommon complications following cardiac valve surgery.
  • Prompt diagnosis and management are crucial for patient outcomes.

Observation:

  • A 23-year-old male presented with hematuria and hemolysis three months post mitral and tricuspid valve replacement.
  • Diagnostic evaluations, including echocardiography and catheterization, identified a Gerbode-type VSD.

Findings:

  • The patient underwent successful interventional occlusion of the Gerbode-type VSD.
  • Hematuria resolved immediately post-procedure, indicating effective defect closure.

Implications:

  • Percutaneous VSD closure is a viable and often preferred alternative to surgical re-operation for iatrogenic defects.
  • Timely and appropriate intervention can significantly improve patient recovery and prevent further complications.

Keywords:
Amplatzer duct occluderIatrogenic Gerbode defectTranscatheter closure of VSDValvular replacement complication

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