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Gerbode defect formation two decades after tetrology of fallot repair


1 Department of Internal Medicine, Maimonides Medical Center, New York City, NY, USA
2 SUNY Downstate Medical Center, New York City, NY, USA
3 Department of Cardiology, Era Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
4 Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
5 Department of Cardiology, Maimonides Medical Center, New York City, NY, USA

Correspondence Address:
Paurush Ambesh
Department of Internal Medicine, Maimonides Medical Center, 4802 10th Avenue, New York City, NY 11219
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_118_18

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Year : 2019  |  Volume : 22  |  Issue : 3  |  Page : 334-336

 

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Although most intracardiac defects are congenital, a small fraction may be acquired during life. The Gerbode defect is an abnormal anatomical connection between the left ventricle and the right atrium. We describe herein a patient who initially underwent repair of tetralogy of Fallot (TOF). Years after TOF repair, he developed severe dyspnea. Extensive evaluation revealed that he had developed a Gerbode defect. Very few cases of acquired Gerbode defect have been previously reported. Management options are predominantly surgical interventions.






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1 Department of Internal Medicine, Maimonides Medical Center, New York City, NY, USA
2 SUNY Downstate Medical Center, New York City, NY, USA
3 Department of Cardiology, Era Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
4 Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
5 Department of Cardiology, Maimonides Medical Center, New York City, NY, USA

Correspondence Address:
Paurush Ambesh
Department of Internal Medicine, Maimonides Medical Center, 4802 10th Avenue, New York City, NY 11219
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_118_18

Rights and Permissions

Although most intracardiac defects are congenital, a small fraction may be acquired during life. The Gerbode defect is an abnormal anatomical connection between the left ventricle and the right atrium. We describe herein a patient who initially underwent repair of tetralogy of Fallot (TOF). Years after TOF repair, he developed severe dyspnea. Extensive evaluation revealed that he had developed a Gerbode defect. Very few cases of acquired Gerbode defect have been previously reported. Management options are predominantly surgical interventions.






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