Korean Circ J.  2013 Jun;43(6):429-431. 10.4070/kcj.2013.43.6.429.

Percutaneous Closure of the Acquired Gerbode Shunt Using the Amplatzer Duct Occluder in a 3-Month Old Patient

Affiliations
  • 1Department of Pediatrics, Sejong Cardiovascular Institute, Bucheon, Korea.
  • 2Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. amyjys@naver.com

Abstract

The Gerbode shunt, known as the left ventricle to the right atrial communication, is a rather rare finding, following surgical closure of septal defects. Even though the surgical closure is accepted as a treatment of choice, we report a successful percutaneous transcatheter closure of the Gerbode shunt in a 3-months old baby who weighed 3 kilograms.

Keyword

Heart septal defect; Septal occluder device

MeSH Terms

Heart Septal Defects
Heart Ventricles
Humans
Septal Occluder Device

Figure

  • Fig. 1 A large amount of shunt from the left ventricular to the right atrium in transthoracic echocardiography.

  • Fig. 2 The left ventriculography on the four-chamber view before (A) and after device closure (B) by using 5-4 mm Amplatzer duct occluder.

  • Fig. 3 The chest X-ray before (A) and after device closure (B).


Reference

1. Gerbode F, Hultgren H, Melrose D, Osborn J. Syndrome of left ventricular-right atrial shunt; successful surgical repair of defect in five cases, with observation of bradycardia on closure. Ann Surg. 1958; 148:433–446.
2. Newman JN Jr, Rozanski L, Kreulen T. Acquired left ventricular to right atrial intracardiac shunt after myocardial infarction: a case report and review of the literature. J Am Soc Echocardiogr. 1996; 9:716–720.
3. Rothman A, Galindo A, Channick R, Blanchard D. Amplatzer device closure of a tortuous Gerbode (left ventricle-to-right atrium) defect complicated by transient hemolysis in an octogenarian. J Invasive Cardiol. 2008; 20:E273–E276.
4. Kelle AM, Young L, Kaushal S, Duffy CE, Anderson RH, Backer CL. The Gerbode defect: the significance of a left ventricular to right atrial shunt. Cardiol Young. 2009; 19:Suppl 2. 96–99.
5. Spence MS, Thomson JD, Weber N, Qureshi SA. Transient renal failure due to hemolysis following transcatheter closure of a muscular VSD using an Amplatzer muscular VSD occluder. Catheter Cardiovasc Interv. 2006; 67:663–667.
6. Choi DY, Kim NY, Jung MJ, Kim SH. The results of transcatheter occlusion of patent ductus arteriosus: success rate and complications over 12 years in a single center. Korean Circ J. 2010; 40:230–234.
7. Trehan V, Ramakrishnan S, Goyal NK. Successful device closure of an acquired Gerbode defect. Catheter Cardiovasc Interv. 2006; 68:942–945.
Full Text Links
  • KCJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr