Top

Published in:

01-09-2020 | Aortic Valve Replacement | Case Report

Gerbode defect and left ventricular-aortic discontinuity in prosthetic valve endocarditis

Authors: Tetsuro Uchida, Azumi Hamasaki, Yoshinori Kuroda, Atsushi Yamashita, Shingo Nakai, Kimihiro Kobayashi, Mitsuaki Sadahiro

Published in: Journal of Artificial Organs | Issue 3/2020

Abstract

Communication between the left ventricle and right atrium is known as the Gerbode defect. The defect is usually congenital but can be acquired secondary to infective endocarditis. Left ventricular-aortic discontinuity is another serious complication of extensive infective endocarditis. Here, we report a rare case of prosthetic valve endocarditis complicated with both acquired Gerbode defect and left ventricular-aortic discontinuity. We successfully performed reconstructive surgery involving patch closure of the Gerbode defect and reconstruction of the circumferential left ventricular outflow tract with a xenopericardial patch, followed by supra-annular aortic valve replacement with the Solo Smart bovine pericardial stentless valve.

Gerbode F, Hultgren H, Melrose D, Osborn J. Syndrome of left ventricular-right atrial shunt; successful surgical repair of defect in five cases, with observation of bradycardia on closure. Ann Surg. 1958;148:433–46.CrossRef

Alphonso N, Dhital K, Chambers J, Shabbo F. Gerbode’s defect resulting from infective endocarditis. Eur J Cardiothorac Surg. 2003;23:844–6.CrossRef

Matt P, Winkler B, Carrel T, Eckstein F. Plicated patch repair for acquired Gerbode defect involving the tricuspid valve. Ann Thorac Surg. 2010;89:643–5.CrossRef

Takahashi H, Arif R, Kallenbach K, Tochtermann U, Karck M, Ruhparwar A. Surgical treatment of aortic valve endocarditis with left ventricular-aortic discontinuity. Ann Thorac Surg. 2013;96:72–6.CrossRef

Repossini A, Bacco LD, Gazdag L, Grubitzsch H, Fischlein T, Stara A, Muneretto C, Santarpino G. Is the Freedom SOLO stentless bioprosthesis a useful tool for patients with aortic endocarditis and aortic annular destruction? Thorac Cardiovasc Surg. 2018. https://doi.org/10.1055/s-0038-1668134.CrossRefPubMed

Uchida T, Kuroda Y, Hamasaki A, Sadahiro M. Modified Commando operation using stentless aortic bioprosthesis. J Card Surg. 2019;34:846–8.CrossRef

Uchida T, Hamasaki A, Kuroda Y, Yamashita A, Mizumoto M, Sadahiro M. The Solo Smart stentless bioprosthesis for infective valve endocarditis with aortic annular abscess. Int Heart J. 2019;60:986–9.CrossRef

Title: Gerbode defect and left ventricular-aortic discontinuity in prosthetic valve endocarditis
Authors: Tetsuro Uchida
Azumi Hamasaki
Yoshinori Kuroda
Atsushi Yamashita
Shingo Nakai
Kimihiro Kobayashi
Mitsuaki Sadahiro
Publication date: 01-09-2020
Publisher: Springer Japan
Keywords: Aortic Valve Replacement
Atrioventricular Block
Endocarditis
Aortic Valve Replacement
Aortic Valve Replacement
Published in: Journal of Artificial Organs / Issue 3/2020
Print ISSN: 1434-7229
Electronic ISSN: 1619-0904
DOI: https://doi.org/10.1007/s10047-019-01153-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Gerbode defect and left ventricular-aortic discontinuity in prosthetic valve endocarditis

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2020

Impact of the angle between aortic and mitral annulus on the occurrence of hemolysis during Impella support

Future development of artificial organs related with cutting edge emerging technology and their regulatory assessment: PMDA’s perspective

Central conversion from peripheral extracorporeal life support for patients with refractory congestive heart failure

Involvement of ionic interactions in cytokine adsorption of polyethyleneimine-coated polyacrylonitrile and polymethyl methacrylate membranes in vitro

Pneumopericardium suggesting left ventricular assist device-related gastrointestinal complication

Effect of a modular neck hip prosthesis on anteversion and hip rotation in total hip arthroplasty for developmental dysplasia of the hip