A young girl was evaluated for the recent onset of dyspnea. She was found to have an intermediate or Type III communication between the left ventricle and the right atrium (a unusual form of Gerbode defect) associated with an atrial septal defect (ASD) on the echocardiography. The combination of the intermediate form of the Gerbode defect with an ASD is rare and not documented in the literature.
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