Shuaib Karim, Scorsese Giacomo, Seiter Christopher, Zabirowicz Eric, Poppers Jeremy
Department of Anesthesiology, Stony Brook University Health Science Center, Stony Brook, NY 11794-8480, USA.
Case Rep Anesthesiol. 2022 Jul 18;2022:6998632. doi: 10.1155/2022/6998632. eCollection 2022.
The Gerbode defect was first described in the late 1950s as a congenital peri-membranous ventricular septal defect (VSD), resulting in a left to right ventriculoatrial shunt. We present a case of a patient with restenosis of a prior bioprosthetic aortic valve (AV) who underwent reoperative AV replacement (AVR), which was complicated by a unique iatrogenic Gerbode defect with concurrent LV-LA communication. Our case highlights the unique complications resulting from ventriculoatrial shunts, with consideration paid to the management of ventriculoatrial defects described.
1950年代末首次描述的Gerbode缺损是一种先天性膜周部室间隔缺损（VSD），导致左向右心室心房分流。我们报告一例曾接受生物瓣主动脉瓣（AV）置换术的患者发生再狭窄，该患者接受了再次AV置换术（AVR），术中并发了独特的医源性Gerbode缺损及左心室-左心房交通。我们的病例突出了心室心房分流导致的独特并发症，并对所述心室心房缺损的处理进行了探讨。
