Successful device closure of an acquired Gerbode defect

Abstract

Left ventricle to right atrial communications, collectively known as Gerbode defects, are usually congenital defects and surgical closure remains the treatment of choice. We report a rare case of Gerbode defect acquired following surgical closure of a ventricular septal defect. The defect was successfully closed percutaneously with an Amplatzer ventricular septal occluder. The patient remained symptom free with optimal result on echo at 6 months of follow-up. This is the first reported case of successful device closure of an acquired Gerbode defect.

Amplatzer duct occluder ii for closure of congenital Gerbode defects

“…The first successful series of patients operated on with a left ventricular to right atrial shunt was reported by Gerbode et al . There are a few case reports of percutaneous closure of acquired Gerbode shunts . There is a small series of four cases of post‐surgical Gerbode defects closed successfully with various devices.…”

“…These shunts are traditionally closed surgically with high incidence of complete heart block. There are case reports and small series of mostly acquired and few congenital Gerbode defects closed percutaneously with various types of devices . We report a small series of 12 cases of only congenital Gerbode defects closed with Amplatzer duct occluder II (ADO II) which is specially designed to close long tubular duct in infants.…”

Percutaneous Closure of 2 Paravalvular Leaks and a Gerbode Defect after Mitral Valve Replacement for Infective Endocarditis

“…Surgery is the treatment of choice; however, percutaneous closure with septal occluders has been used as an alternative. 10,11 Sinisalo and colleagues 10 and Rothman and associates 12 reported using Amplatzer Duct, VSD, and ASD Occluders that had waist diameters slightly larger than the diameters of their patients' Gerbode defects. In our patient, closure with use of a 7-mm AVP IV device failed; an 8-mm Amplatzer VSD Occluder better fit the anatomy of the defect.…”

Percutaneous Closure of the Acquired Gerbode Shunt Using the Amplatzer Duct Occluder in a 3-Month Old Patient

“…Hemolysis has been described in patients after the device closure of VSD and PDA 5)7). As thrombus formation is an important complication as well, we started providing aspirin.…”