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Case Reports
. 2023 Jun 10;1(3):444-446.
doi: 10.1016/j.atssr.2023.05.015. eCollection 2023 Sep.

Neonatal Gerbode Defect Resulting in Cardiogenic Shock

Lillian Kang  1 , Anna C Hoover  2 , Michael Camitta  3 , Joseph W Turek  1   3 , Nicholas D Andersen  1   3
Affiliations
Case Reports

Neonatal Gerbode Defect Resulting in Cardiogenic Shock

Lillian Kang et al. Ann Thorac Surg Short Rep. .

Abstract

Congenital Gerbode defects, consisting of a deficiency in the membranous septum causing left ventricle-to-right atrium shunting, are rarely hemodynamically significant. Here, we present the case of a neonate with a large unrestrictive Gerbode defect, patent foramen ovale, patent ductus arteriosus, and pulmonary valve insufficiency resulting in a circular intracardiac shunt and cardiogenic shock. The patient was managed with venoarterial extracorporeal membrane oxygenation followed by neonatal Gerbode defect repair. After repair, the patient had an uncomplicated postoperative course. To our knowledge, a neonatal congenital Gerbode defect resulting in cardiogenic shock is exceedingly rare.

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Figures

Figure 1
Figure 1
Transthoracic echocardiography demonstrating patient’s Gerbode defect (arrows).
Figure 2
Figure 2
Intraoperative picture of the patient’s Gerbode defect.
Figure 3
Figure 3
(A) Intraoperative picture of the Gerbode defect repair. (B) Postoperative transthoracic echocardiogram of repaired Gerbode defect (arrows).
See this image and copyright information in PMC

References

    1. 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;148:433–446. doi: 10.1097/00000658-195809000-00012. - DOI - PMC - PubMed
    1. Taskesen T., Prouse A.F., Goldberg S.L., Gill E.A. Gerbode defect: another nail for the 3D transesophagel echo hammer? Int J Cardiovasc Imaging. 2015;31:753–764. doi: 10.1007/s10554-015-0620-3. - DOI - PubMed
    1. Tidake A., Gangurde P., Mahajan A. Gerbode defect—a rare defect of atrioventricular septum and tricuspid valve. J Clin Diagn Res. 2015;9:OD06–8. doi: 10.7860/jcdr/2015/14259.6531. - DOI - PMC - PubMed
    1. Sinisalo J.P., Sreeram N., Jokinen E., Qureshi S.A. Acquired left ventricular–right atrium shunts. Eur J Cardiothorac Surg. 2011;39:500–506. doi: 10.1016/j.ejcts.2010.04.027. - DOI - PubMed
    1. Saker E., Bahri G.N., Montalbano M.J., et al. Gerbode defect: a comprehensive review of its history, anatomy, embryology, pathophysiology, diagnosis, and treatment. J Saudi Heart Assoc. 2017;29:283–292. doi: 10.1016/j.jsha.2017.01.006. - DOI - PMC - PubMed

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