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Gerbode defect and multivalvular dysfunction: Complex complications in adult congenital heart disease
Author(s) -
Ruivo Catarina,
Guardado Joana,
Montenegro Sá Fernando,
Saraiva Fátima,
Antunes Alexandre,
Correia Joana,
Morais João
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13561
Subject(s) - medicine , cardiology , dehiscence , heart disease , heart failure , shunt (medical) , surgery , mitral valve , primary interatrial foramen , foramen secundum , patent foramen ovale , migraine
We report a clinical case of a 40‐year‐old male with surgically corrected congenital heart disease ( CHD ) 10 years earlier: closure of ostium primum, mitral annuloplasty, and aortic valve and root surgery. The patient was admitted with acute heart failure. Transesophageal echocardiography ( TEE ) revealed a dysmorphic and severely incompetent aortic valve, a partial tear of the mitral valve cleft repair and annuloplasty ring dehiscence. A true left ventricular‐to‐right atrial shunt confirmed a direct Gerbode defect. The authors aim to discuss the diagnostic challenge of adult CHD , namely the key role of TEE on septal defects and valve regurgitations description.