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Case Reports
. 2018 Jun 22;2(5):207-209.
doi: 10.1016/j.case.2018.03.005. eCollection 2018 Oct.

A Case of Gerbode Ventricular Septal Defect Endocarditis

Adam Kretzer  1 , Hassan Amhaz  2 , Alina Nicoara  2 , Mark Kendall  3 , Donald Glower  4 , Mandisa-Maia Jones  2
Affiliations
Case Reports

A Case of Gerbode Ventricular Septal Defect Endocarditis

Adam Kretzer et al. CASE (Phila). .

Abstract

•A Gerbode VSD is a communication between the left ventricle and right atrium.•Etiologies include trauma, infective endocarditis, and iatrogenic causes.•Echocardiographic evaluation for this defect requires a careful interrogation.

Keywords: Echocardiography; Endocarditis; Gerbode; TEE; VSD.

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Figures

None
Graphical abstract
Figure 1
Figure 1
(A) Acquired type with the left ventricular and right atrial communication superior to the intact septal leaflet of the tricuspid valve (TV; type II, direct). (B) Congenital type with a communication existing between the left ventricle (LV) and right ventricle (RV) and a defect in the septal leaflet of the TV (type I, indirect). Ao, Aorta; IVS, interventricular septum; MV, mitral valve; RA, right atrium.
Figure 2
Figure 2
(A) Midesophageal right ventricular inflow-outflow view demonstrating turbulent flow from the left ventricular outflow tract into the right atrium (RA). The arrow denotes the origin of the Gerbode VSD. (B) Deep transgastric five-chamber view demonstrating flow originating from the left ventricle (LV) into the RA (above the tricuspid valve). The arrow denotes the origin of the Gerbode VSD. (C) Continuous-wave Doppler interrogation of the preoperative transthoracic subcostal four-chamber view demonstrating the velocity of the jet (asterisk) through the ventricular-atrial defect. LA, Left atrium.
See this image and copyright information in PMC

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