Sánchez-Pacheco Jesús, Rivera-Navarrete Eric, Santibáñez-Escobar Felipe, Arias-Godínez José A, Raymundo-Martínez Grecia I
Departamento de Cirugía Cardiotorácica, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México.
Departamento de Cirugía Cardiotorácica, Hospital Central Militar, Ciudad de México, México.
Arch Cardiol Mex. 2022 Jan 3;92(1):68-74. doi: 10.24875/ACM.20000229.
Gerbode defect is a communication from the left ventricle to right atrium and it could be categorized in congenital or acquired. It is a rare condition that can represent as much as 0.08% of all septal defects. Those acquired defects can be associated to endocarditis and after valvular surgery. The objective is to report a case of Gerbode atria-ventricular septal defect in Instituto Nacional de Cardiología Ignacio Chavez. The present case is about a 36 years old male patient with a typical presentation of mitral regurgitation, the echocardiogram reports a perforation in the anterior mitral leaflet and a Gerbode ventricular septal defect, that represents the heterogeneity of the clinical presentation of this pathology, also we show the findings in imaging studies that contributed to diagnosis and its surgical resolution. Gerbode defect is an uncommon pathology, many times associated to other cardiovascular entity, difficulting diagnose. It requires image studies and a complete presurgical evaluation in order to achieve opportune diagnosis.
Gerbode缺损是指左心室与右心房之间的交通，可分为先天性或后天性。这是一种罕见的疾病，在所有间隔缺损中占比可达0.08%。那些后天性缺损可能与心内膜炎及瓣膜手术后有关。目的是报告在伊格纳西奥·查韦斯国家心脏病研究所发生的一例Gerbode房室间隔缺损病例。本病例是一名36岁男性患者，有典型的二尖瓣反流表现，超声心动图报告二尖瓣前叶有穿孔及Gerbode室间隔缺损，这体现了该病理表现的异质性，我们还展示了有助于诊断及其手术解决的影像学研究结果。Gerbode缺损是一种不常见的病理情况，很多时候与其他心血管疾病相关，诊断困难。它需要影像学检查及完整的术前评估以实现及时诊断。
