Erschienen in:
01.02.2015 | e-Herz: Case study
Delayed left ventricular-to-right atrial communication (acquired Gerbode defect) after aortic valve replacement
verfasst von:
O. Ozeke, MD, E. Celik, E. Grbovic, A. Colak, P. Dogan, O. Tufekcioglu, Z. Golbasi, H.L. Kisacik
Erschienen in:
Herz
|
Ausgabe 1/2015
Einloggen, um Zugang zu erhalten
Excerpt
Left ventricular (LV)-to-right atrial (RA) communications, collectively known as Gerbode defects [
1], are mostly congenital defects, but acquired cases are also described mainly following infective endocarditis, mitral and aortic valve replacement (AVR), thoracic trauma, or acute myocardial infarction [
2,
3,
4,
5,
6,
7,
8]. Its clinical spectrum depends on the underlying etiology and the size of the defect. Symptoms of LV–RA shunts vary from none to severe heart failure and ultimately to death [
8]. Whereas small communications may be well tolerated without symptoms or clinical signs, the larger ones lead to volume overload, chamber enlargement, and eventually heart failure [
2]. We present an uncommon acquired LV-RA communication (acquired Gerbode-type defect) following an AVR in an asymptomatic patient. …
