Case reportLeft ventricular–right atrial fistula complicating redo mitral valve replacement
Section snippets
Comment
The development of structural defects is a rare complication after mitral valve replacement. Most commonly paravalvular leakage is observed and its development is largely prosthesis independent 1, 3. If the careful suture technique is used the incidence of paravalvular leakage approaches zero in uninfected patients [1]. A calcified mitral ring has been shown to be a predisposing factor for paravalvular leakage [1] as well as a redo operation [4]. A left ventricular–coronary sinus fistula
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Cited by (13)
Gerbode defect: A comprehensive review of its history, anatomy, embryology, pathophysiology, diagnosis, and treatment Gerbode defect
2017, Journal of the Saudi Heart AssociationCitation Excerpt :Men account for 68% of AGD with the typical age being 49 years at the time of diagnosis and most commonly occurring iatrogenically [7,18]. The two major causes for acquired iatrogenic Gerbode defect are previous cardiac surgery (aortic valve replacement [43,46–50], mitral valve replacement [51,52], VSD-ASD repair [49,53]) and percutaneous cardiac interventions (AV node ablation, endomyocardial biopsy, and tricuspid annuloplasty), which are mainly responsible for the increase in the past 20 years. Of particular importance is combined tricuspid annuloplasty ring insertion and mitral valve replacement [15,24,46,54] as this may lead to damage to the membranous septum caused by excessive debridement of annular calcium [20,47,51–58].
Acquired left ventricular-right atrium shunts
2011, European Journal of Cardio-thoracic SurgeryAcquired left ventricular-right atrial communication after mitral valve replacement and tricuspid annuloplasty
2022, Journal of Cardiac SurgeryGerbode defect, importance of left ventricle-right atrial shunt
2020, Turkiye Klinikleri Cardiovascular SciencesAcquired left ventricle-to-right atrium shunt: clinical implications and diagnostic dilemmas
2015, Wiener Klinische WochenschriftA systematic review of acquired left ventricle to right atrium shunts (Gerbode Defects)
2015, Hellenic Journal of Cardiology