TITLE:
The Gerbode Defect: About 2 Cases
AUTHORS:
Amine Majdoub, Anas Elhafidi, Cedric Mutuale, Salaheddine Boulmakoul, Mohammed Messouak
KEYWORDS:
Congenital Disease, Ventricular Septal Defect, Cardiopulmonary Bypass
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.10 No.7,
July
10,
2020
ABSTRACT: Background: Left ventricular to right
atrial communications (LV-RA) or the Gerbode defects are rare and complex types
of ventricular septal defect. Their clinical diagnosis is not specific.
However, the main clue to identifying Gerbode defect comes
from Doppler-coupled echocardiography (TTE), and the treatment is mainly surgical. Aim: We hereby
report our experience in surgical management of Gerbode defect through two exceptional congenital cases
(type 1 and type 2 of Gerbode defect). Case Presentation: The diagnosis was established in adult patients, the first case is a 27-year-old woman who
had dyspnea, and in whom the TTE
revealed LV-RA communication, with repercussions on the right cavities.
The second case is a 23-year-old man, with the concept of
statutory weight delay, consulted for progressive dyspnea; the TTE initially revealed a very large perimembranous
ventricular defect associated with
significant pulmonary hypertension. Cardiopulmonary bypass surgery was done for a successful and complete correction. Conclusion: Gerbode defect is so rare; the diagnosis is made by TTE. And surgery
must not be delayed until repercussion on right cavities and pulmonary
hypertension.