Rare Presentation of Gerbode Defect in a 4-Month-Old Nigerian and a Review of the Literature

Otaigbe, BE; Orubide, Douye

doi:10.1155/2013/564786

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Heart block has been one of the major concerns after pmVSD closure either by surgical or percutaneous means [10], [11]. Successful percutaneous closure of Gerbode defect has also been reported [12], [13].…”

Section: Introductionmentioning

confidence: 99%

Mid-term results of transcatheter closure of ventricular septal defect using Nit-Occlud Lê ventricular septal defect coil, single-center experience

Shedoudy

El-Doklah

2019

Journal of the Saudi Heart Association

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ObjectivesTo assess safety, efficacy and follow-up results of transcatheter closure of ventricular septal defect (VSD) using Nit-Occlud_ Lê VSD Coil (pfm medical, KÖln, Germany).BackgroundTranscatheter VSD closure has achieved encouraging results but more follow-up studies are needed.Patients and methodsBetween January 2012 and December 2013 in the cardiology department, Tanta University Hospital, Tanta, Egypt, 80 patients underwent percutaneous VSD closure using Nit-Occlud_ Lê VSD Coil. Early and mid- term follow-up was done for 3 years, follow-up was concluded in 2016.ResultsThe mean age of patients was 5.34 ± 3 years, and their mean weight was 17.24 ± 8.17 kg. Overall, 77 of 80 patients had perimembranous VSD with aneurysmal tissue; eight had multiple right ventricular exits, 14 had deficient aortic rim, two had high outlet muscular, and one had Gerbode defect. The procedure was successful in 98.75% of patients, and was aborted in one patient because of the development of complete heart block and the coil had to be removed. The mean procedure time was 104.98 ± 9.50 minutes. The mean fluoroscopy time was 30.58 ± 2.79 minutes. The immediate complete occlusion rate was 62%, which increased to 82.3% on the second day, and 94.9% by the 3rd month, and 97.5% by 1 year. There was a significant decrease in mitral incompetence after 6 months of follow-up (p = 0.002), and only one patient had trivial aortic incompetence prior to the procedure that remained the same during follow-up period.ConclusionUsing Nit-Occlud_ Lê VSD-Coil to close VSD is safe and feasible in VSDs with various morphology.

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Section: Introductionmentioning

confidence: 99%

Mid-term results of transcatheter closure of ventricular septal defect using Nit-Occlud Lê ventricular septal defect coil, single-center experience

Shedoudy

El-Doklah

2019

Journal of the Saudi Heart Association

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“…About one hundred years later, in 1956, Kirby et al performed the first successful surgical closure of the defect using hypothermia and inflow occlusion technique at the Hospital of the University of Pennsylvania. Subsequently, in 1958, the namesake of the Gerbode defect, the surgeon Frank Gerbode, performed a successful defect closure in a case series of five patients at the Stanford University and described the anomaly as follows: “The lesion consists of a high ventricular septal defect associated with a defect of the septal leaflet of the tricuspid valve which allows left ventricular blood to enter the right atrium [ 1 , 26 , 33 , 35 , 43 , 44 , 45 ].…”

Section: Resultsmentioning

confidence: 99%

Congenital Gerbode Defect: A Left Ventricular to Right Atrial Shunt—State-of-the-Art Review of Its General Data, Diagnostic Modalities, and Treatment Strategies

Winter,

Strizek,

Recker

2024

JCDD

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The congenital Gerbode defect is defined as an abnormal communication between the left ventricle and the right atrium. This review aimed to summarize existing evidence, shed light on the clinical implications, and identify knowledge gaps. The systematic literature search was conducted in the PubMed and Google Scholar medical databases using specifically selected keywords. The inclusion of each publication was assessed according to predefined eligibility criteria based on the PICOM (Population, Phenomenon of Interest, Context, Methodology) schema. Titles and abstracts were screened independently by two authors. Available full-text versions of included publications were reviewed and relevant information was extracted. A total of 78 reports were included. The compilation of all congenital Gerbode defect cases described in the literature revealed a variety of clinical presentations comprising dyspnea, palpitations, growth retardation, and asymptomatology. A suitable multimodal diagnostic approach for newborns consists of auscultation, TTE, and optionally TEE and MRI. Because of its rarity, diversity of findings, unknown pathophysiology, and similarity to more common cardiac diseases, the diagnostic challenge remains significant. To prevent untreated long-term sequelae, early individualized treatment is recommended. Surgical defect closure is preferred to device closure for evidence reasons, although major developments are currently taking place. In conclusion, the congenital Gerbode defect provides a diagnostic challenge for pediatricians to allow early diagnosis and intervention in order to improve patients’ quality of life.

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Gerbode Defect of Congenital Variety in an Infant: A Case Report

Singh

Kumar

Abhinay

et al. 2016

JCDR

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ConClusionThis literature search highlights rarity of congenital variety of Gerbode defect. We report only second case of such rare defect from India. The review highlights salient parameters (no age predilection, direct more common congenital variety, symptomatic at presentation, required surgical correction in majority) from all reported cases so far to aware the treating clinicians and paediatricians of such rare defect that needs timely surgical correction/referral for better survival and outcome.

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Rare Presentation of Gerbode Defect in a 4-Month-Old Nigerian and a Review of the Literature

Cited by 3 publications

References 9 publications

Mid-term results of transcatheter closure of ventricular septal defect using Nit-Occlud Lê ventricular septal defect coil, single-center experience

Mid-term results of transcatheter closure of ventricular septal defect using Nit-Occlud Lê ventricular septal defect coil, single-center experience

Congenital Gerbode Defect: A Left Ventricular to Right Atrial Shunt—State-of-the-Art Review of Its General Data, Diagnostic Modalities, and Treatment Strategies

Gerbode Defect of Congenital Variety in an Infant: A Case Report

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