de Freitas Gabriela Veloso, Ruiz Gabriela Zamurano Lopes, de Oliveira Rodrigo Bernardes, Delgado Marina Ayres
Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Saudi J Anaesth. 2023 Apr-Jun;17(2):242-244. doi: 10.4103/sja.sja_654_22. Epub 2023 Mar 10.
Gerbode defect is a rare left ventricle to right atrium shunt that can be acquired or congenital. The incidence of acquired defects has been growing and is caused by previous cardiac surgery, endocarditis, trauma and myocardial infarct. It can be challenging and the anesthesiologist should maintain a suspicion when there is circulatory failure after a cardiac surgery. It can be diagnosed by trans-esophageal echocardiography. In this case we presented the anesthetic management and the successful surgical correction of an acquired ventricular-atrial defect secondary to a previous mitral valve replacement.
Gerbode缺损是一种罕见的左心室至右心房分流，可为后天性或先天性。后天性缺损的发病率一直在上升，由既往心脏手术、心内膜炎、创伤和心肌梗死引起。它可能具有挑战性，当心脏手术后出现循环衰竭时，麻醉医生应保持怀疑。可通过经食管超声心动图进行诊断。在本病例中，我们介绍了对一例继发于既往二尖瓣置换术后的后天性室房缺损的麻醉管理及成功的手术矫正。
