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Updated: Sep 3, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Diagnosis and Management of a Unique Iatrogenic Biatrial Gerbode Defect
Karim Shuaib1, Giacomo Scorsese1, Christopher Seiter1
1Department of Anesthesiology, Stony Brook University Health Science Center, Stony Brook, NY 11794-8480, USA.
Abstract:
The Gerbode defect was first described in the late 1950s as a congenital peri-membranous ventricular septal defect (VSD), resulting in a left to right ventriculoatrial shunt. We present a case of a patient with restenosis of a prior bioprosthetic aortic valve (AV) who underwent reoperative AV replacement (AVR), which was complicated by a unique iatrogenic Gerbode defect with concurrent LV-LA communication. Our case highlights the unique complications resulting from ventriculoatrial shunts, with consideration paid to the management of ventriculoatrial defects described.
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