Transcatheter closure of residual Gerbode defect after aortic valve replacement surgery.
Mehdi SlimNouha MekkiSami OuannesElies NeffatiPublished in: European heart journal. Case reports (2022)
A 42-year-old man with a history of surgically repaired coarctation of the aorta presented with a refractory right heart failure. Echocardiography revealed a calcified bicuspid aortic valve both regurgitant and stenotic and a defect within the membranous septum with left to right shunt from the left ventricle (LV) to the right atrium. The patient was referred to surgery for an aortic valve replacement and closure with patch repair of the Gerbode type defect. Post-operative course was complicated by refractory heart failure with a persistent left to right shunt through the defect due to loose sutures. Taking into account the high surgical risk, percutaneous closure of the defect was decided. An Amplatzer Duct Occluder (St Jude Medical, USA) I device was successfully released within the defect. The patient was completely asymptomatic on follow-up.
Keyphrases
- aortic valve replacement
- aortic valve
- aortic stenosis
- transcatheter aortic valve implantation
- heart failure
- transcatheter aortic valve replacement
- pulmonary artery
- minimally invasive
- left ventricular
- ejection fraction
- pulmonary hypertension
- coronary artery bypass
- case report
- healthcare
- coronary artery
- pulmonary arterial hypertension
- computed tomography
- cardiac resynchronization therapy
- single cell
- ultrasound guided
- surgical site infection
- congenital heart disease
- radiofrequency ablation