Acquired left ventricular-right atrial communication: Gerbode-type defect

Scott M. Wasserman, James I. Fann, J. Edwin Atwood, Thomas A. Burdon, Bahaa M. Fadel

Research output: Contribution to journalArticlepeer-review

58 Scopus citations


Left ventricular-right atrial (LV-RA) communications are rare intracardiac defects, often congenital in nature and clinically apparent during childhood. Acquired LV-RA shunts are encountered occasionally in the adult population as a result of a defect in the upper portion of the membranous ventricular septum. We describe the clinical and echocardiographic features of an elderly patient with an acquired LV-RA communication in the setting of an aortic composite valve graft and endocarditis. We also review the anatomical features and hemodynamic consequences of such defects.

Original languageEnglish
Pages (from-to)67-72
Number of pages6
Issue number1
StatePublished - 2002
Externally publishedYes


  • Aortic valve replacement
  • Endocarditis
  • Gerbode defect
  • Intracardiac shunt
  • Left ventricular-right atrial communication


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