Gorki Hagen, Loulmet Didier F, Lessnau Klaus D
Department of Cardiothoracic Surgery, Lenox Hill Hospital, New York, USA.
J Heart Valve Dis. 2009 May;18(3):325-6.
The Gerbode defect is a congenital shunt from the left ventricle to the right atrium. The type I defect (2) results in a direct shunt through a portion of the membranous septum, while a type II (indirect) defect occurs if the membranous septal defect lies below the attachment of the septal leaflet of the tricuspid valve. The shunt is directed towards the right atrium through a cleft or perforations of the septal leaflet. Acquired Gerbode defects have been identified in endocarditis, after mitral or aortic valve surgery, or may be post-traumatic. The case is presented of a 69-year-old woman with a postoperative Gerbode defect in association with aortic prosthetic endocarditis caused by non-typhoid Salmonella.
Gerbode缺损是一种从左心室到右心房的先天性分流。I型缺损（2）导致通过部分膜性间隔的直接分流，而如果膜性间隔缺损位于三尖瓣隔叶附着点下方，则会出现II型（间接）缺损。分流通过隔叶的裂隙或穿孔指向右心房。在感染性心内膜炎、二尖瓣或主动脉瓣手术后已发现获得性Gerbode缺损，也可能是创伤后形成的。本文报道了一例69岁女性，术后出现Gerbode缺损，并伴有非伤寒沙门氏菌引起的主动脉人工瓣膜心内膜炎。
