Unusual Complication of Aortic Root Reconstruction with Sparing of the Aortic Valve: Left Ventricular Outflow Tract to Right Atrial Fistula

Ramasubbu, Kumudha; Coselli, Joseph S.; Zoghbi, William A.

doi:10.1016/j.echo.2005.12.010

Cited by 9 publications

References 14 publications

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Gerbode defect: Another nail for the 3D transesophagel echo hammer?

Taşkesen

Prouse

Goldberg

et al. 2015

Int J Cardiovasc Imaging

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Acquired type of LV to RA shunt (Gerbode defect) is rare form of intracardiac shunt which is due to complications of invasive cardiac procedures, endocarditis, trauma or myocardial infarction. Increasing invasive and recurrent cardiovascular procedures have led to more acquired cases of what used to be a predominant congenital heart defect. Advanced cardiac imaging techniques and awareness of this rare pathology may account for the increased number of case reports in the last two decades Advanced cardiac imaging tools such as cardiac CT, MRI and Real-time 3D echocardiography provide definitive diagnosis and anatomic characterization of the shunt. Real-time 3D echocardiography is an imaging technique with arguably the most advantages. It is not only a diagnostic tool; it has also become an integral part of percutaneous and surgical treatment. Although surgical repair is the usual treatment for this shunt, percutaneous catheter-based closure has seen significant success as a less invasive treatment in selected patients in the last decade. In summary, a beneficial side effect of the increasing frequency of acquired Gerbode defect has been the corresponding development of newer diagnostic tools and less invasive treatments. This article presents etiologic, diagnostic and treatment changes of acquired LV-RA shunts over the last two decades.

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Gerbode defect: Another nail for the 3D transesophagel echo hammer?

Taşkesen

Prouse

Goldberg

et al. 2015

Int J Cardiovasc Imaging

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Echocardiographic Recognition of Unusual Complications after Surgery on the Great Vessels and Cardiac Valves

Zoghbi¹

2007

The Practice of Clinical Echocardiography

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Acquired left ventricular–right atrium shunts

Sinisalo

Sreeram

Jokinen

et al. 2011

European Journal of Cardio-Thoracic Surgery

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Left ventricular to right atrial (LV-RA) shunt is an unusual type of ventricular septal defect (VSD). This article concentrates on acquired LV-RA shunts, which may be due to complications of cardiac operation, endocarditis, trauma or myocardial infarction. A previous cardiac operation is its most common cause. The diagnosis of LV-RA communication is not easy, and it should be remembered in patients who do not recover normally. Diagnosis can be confirmed with ultrasound or magnetic resonance image (MRI). Surgical correction is usually the treatment of choice, but closing the communication percutaneously should be considered as an option.

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Unusual Complication of Aortic Root Reconstruction with Sparing of the Aortic Valve: Left Ventricular Outflow Tract to Right Atrial Fistula

Cited by 9 publications

References 14 publications

Gerbode defect: Another nail for the 3D transesophagel echo hammer?

Gerbode defect: Another nail for the 3D transesophagel echo hammer?

Echocardiographic Recognition of Unusual Complications after Surgery on the Great Vessels and Cardiac Valves

Acquired left ventricular–right atrium shunts

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