JACC. Case reports · 2026
Surgical Tricuspid Valve Repair Resulting in Acquired Gerbode Defect: A Rare and Challenging Case.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Jebain Joseph, Abo Hajar Mohamad Bader, Salih Mohammed, Elkaialy Ahmed, Moubarak Ghadi, Hernandez Eduardo, Szerlip Molly, Al-Azizi Karim, Matar Ralph, Potluri Srinivasa
Аннотация
BACKGROUND: Acquired Gerbode defect is a complication of cardiac surgery. Diagnostic challenges arise because of frequent mischaracterization as severe tricuspid regurgitation on imaging, often delaying definitive management.
CASE SUMMARY: After undergoing surgical tricuspid valve repair, a patient developed an acquired Gerbode defect located in the membranous septum beneath the noncoronary cusp of the aortic valve. The defect remained undetected for over 3 years owing to misinterpretation of echocardiographic findings as severe tricuspid regurgitation. Comprehensive transesophageal echocardiography enabled accurate diagnosis and anatomical localization.
DISCUSSION: The defect was successfully closed percutaneously under transesophageal echocardiographic and fluoroscopic guidance using a 6-mm Amplatzer atrial septal defect occluder device. The procedure resulted in complete closure of the shunt, with no residual defect or complications.
TAKE-HOME MESSAGE: This case highlights the importance of advanced imaging for the diagnosis of elusive acquired Gerbode defects and demonstrates that percutaneous device closure is a safe and effective therapeutic option for this uncommon postsurgical complication.
CASE SUMMARY: After undergoing surgical tricuspid valve repair, a patient developed an acquired Gerbode defect located in the membranous septum beneath the noncoronary cusp of the aortic valve. The defect remained undetected for over 3 years owing to misinterpretation of echocardiographic findings as severe tricuspid regurgitation. Comprehensive transesophageal echocardiography enabled accurate diagnosis and anatomical localization.
DISCUSSION: The defect was successfully closed percutaneously under transesophageal echocardiographic and fluoroscopic guidance using a 6-mm Amplatzer atrial septal defect occluder device. The procedure resulted in complete closure of the shunt, with no residual defect or complications.
TAKE-HOME MESSAGE: This case highlights the importance of advanced imaging for the diagnosis of elusive acquired Gerbode defects and demonstrates that percutaneous device closure is a safe and effective therapeutic option for this uncommon postsurgical complication.