Arq Bras Cardiol: Imagem cardiovasc. 2021; 34(1): eabc142
Left Ventricular-to-right Atrial Shunt (Gerbode Defect) Associated with Interventricular Communication in a 42-year-old Patient
DOI: 10.47593/2675-312X/20213401eabc142
Introduction
The Gerbode defect, a rare ventricular septal anomaly characterized by communication between the left ventricle (LV) and the right atrium (RA), represents approximately 0.08% of intracardiac shunts and less than 1% of congenital heart defects. Although it classically has a congenital etiology, secondary causes of infective endocarditis, myocardial infarction (MI), and iatrogenesis have been reported. The Gerbode defect was first described in 1857, and its first successful surgical treatment was reported by Kirby at the Hospital of the University of Pennsylvania.
Here, we report an unusual case of congenital Gerbode defect in a 42-year-old patient whose diagnosis was challenging due to the presence of an additional shunt at the ventricular level.
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