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Open Access 01-12-2013 | Case report

Unusual cause of dyspnoea: a case presentation of an echocardiographic pitfall

Authors: Carina Primus, Gernot Grabscheit, Choi Keung Ng, Johann Auer

Published in: Journal of Cardiothoracic Surgery | Issue 1/2013

Abstract

Congenital or acquired communication between the left ventricle and the right atrium is known as the Gerbode defect, which is rarely diagnosed since the defect is very unusual and for this reason often misinterpreted as an eccentric tricuspid regurgitation jet.

The entity and reason of the defect is unknown to many physicians, so that profound knowledge and a careful and meticulous echocardiogram are necessary in order to prevent misinterpretation of this defect as a pulmonary hypertension.

We report the case of a 76-year-old Austrian woman who developed such a Gerbode defect after a recent bioprosthetic aortic valve replacement.

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Gerbode F, Hultgren H, Melrose D, Osborn J: Syndrome of left ventricle-right atrial shunt: successful surgical repair in five cases with observation of bradycardia on closure. Ann Surg. 1958, 148: 433-446. 10.1097/00000658-195809000-00012.CrossRefPubMedPubMedCentral

Matt P, Winker B, Carrel T, Eckstein F: Plicated patch repair for acquired Gerbode defect involving the tricuspid valve. Ann Thorac Surg. 2010, 89: 643-645. 10.1016/j.athoracsur.2009.04.095.CrossRefPubMed

Xhabita N, Prifti E, Allajbeu I, Sula F: Gerbode defect following endocarditis and misinterpreted as severe pulmonary arterial hypertension. Cardiovasc Ultrasound. 2010, 8: 44-10.1186/1476-7120-8-44.CrossRef

Title: Unusual cause of dyspnoea: a case presentation of an echocardiographic pitfall
Authors: Carina Primus
Gernot Grabscheit
Choi Keung Ng
Johann Auer
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2013
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-8-230

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Unusual cause of dyspnoea: a case presentation of an echocardiographic pitfall

Abstract

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Abstract

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