Real Time Three-Dimensional Echocardiographic Detection of Acquried Left Ventricular-Right Atrial Communication (Gerbode-Type Defect) Caused by Infectious Endocarditis.
- Author:
Won Jong SEOL
1
;
Wook Jin CHUNG
;
Mi Seung SHIN
;
In Sung MOON
;
Duck Soo WOO
;
Seung Ki JEONG
;
Young Nam KIM
;
Chang Ha LEE
;
Chul Hyun PARK
;
Eik Kyun SHIN
Author Information
1. Cardiology Division, Gil Heart Center, Korea.
- Publication Type:Case Report
- Keywords:
Gerbode defect;
Left ventricular-right atrial communication;
Bicuspid aortic valve;
Infective endocarditis;
Real time three-dimensional echocardiography
- MeSH:
Anti-Bacterial Agents;
Aortic Valve;
Aortic Valve Insufficiency;
Bicuspid;
Dyspnea;
Echocardiography*;
Echocardiography, Three-Dimensional;
Endocarditis*;
Fever;
Hemodynamics;
Myocardial Infarction;
Streptococcus mitis;
Sutures
- From:Journal of the Korean Society of Echocardiography
2003;11(2):102-107
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Left ventricular-right atrial communications, known as Gerbode-type defects, are rare intracardiac defects that can be either congenital or acquired. Acquired forms arises from endocarditis, trauma, mitral or aortic valve replacement and myocardial infarction. In this case, a forty-seven year-old man with resting dyspnea and fever was diagnosed to have infected congenital bicuspid aortic valve resulting in severe acute aortic regurgitation and he also was diagnosed to have a Gerbode-type defect which were demonstrated by the color doppler method and realtime three-dimensional echocardiography. The causasive organism was Streptococcus mitis. After sufficient antibiotics therapy, aortic valve replacement was performed and the atrioventricular portion of the membranous septum was closed directly with mattress suture. We also review the anatomical features and hemodynamic consequences of such a defect.
