Journal of Cardiovascular Echography

CASE REPORT
Year
: 2019  |  Volume : 29  |  Issue : 1  |  Page : 14--16

Three-dimensional echocardiographic imaging of a Gerbode defect complicating transcatheter aortic valve replacement


Hani Al Sergani1, Domenico Galzerano2, Olga Vriz1, Jehad Al Buraiki1 
1 The Heart Centre, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
2 The Heart Centre, King Faisal Specialist Hospital and Research Center; Alfaisal University, College of Medicine, Riyadh, Saudi Arabia

Correspondence Address:
Domenico Galzerano
The Heart Centre, King Faisal Specialist Hospital and Research Center, Riyadh
Saudi Arabia

We describe a case of a 77-year-old male who underwent transcatheter aortic valve implantation (TAVR) with Edwards SAPIEN XT size 26 mm for severe aortic stenosis. Postprocedural transesophageal echocardiography (TEE) showed left-to-right shunt between the left ventricular outflow tract just below the bioprosthesis and the right atrium across the atrioventricular septum (Gerbode defect). Three-dimensional echocardiography (3DE) allowed a detailed anatomical imaging of the shape and the location of a small, circular, atrioventricular defect that was a type II, direct, supravalvular, Gerbode-type defect. This is the third report of a Gerbode defect after TAVR whose diagnosis has important implications on clinical decision-making. TEE plays a key role; its diagnostic ability is enriched by the additional value of 3DE.


How to cite this article:
Al Sergani H, Galzerano D, Vriz O, Al Buraiki J. Three-dimensional echocardiographic imaging of a Gerbode defect complicating transcatheter aortic valve replacement.J Cardiovasc Echography 2019;29:14-16


How to cite this URL:
Al Sergani H, Galzerano D, Vriz O, Al Buraiki J. Three-dimensional echocardiographic imaging of a Gerbode defect complicating transcatheter aortic valve replacement. J Cardiovasc Echography [serial online] 2019 [cited 2019 Jun 17 ];29:14-16
Available from: http://www.jcecho.org/article.asp?issn=2211-4122;year=2019;volume=29;issue=1;spage=14;epage=16;aulast=Al;type=0