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

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

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_56_18

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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.

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