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dc.contributor.authorKrit Leemasawaten_US
dc.contributor.authorRungsrit Kanjanavaniten_US
dc.contributor.authorArintaya Phrommintikulen_US
dc.description.abstract© 2017 Italian Federation of Cardiology. All rights reserved. Left ventricular-to-right atrial communication, known as Gerbode defect, is rare. However, right ventricular-to-left atrial communication is much rarer. We present a case of a middle-aged woman with a past history of primum atrial septal defect surgery who presented with dyspnea on exertion. Echocardiographic studies showed dehiscence of the pericardial atrial patch from atrioventricular junction, causing a right ventricular-to-left atrial communication with bidirectional shunt. A three-dimensional transesophageal echocardiographic reconstruction revealed a defect of septal tricuspid valve leaflet. In atrioventricular septal defect, the apical displacement of mitral valve insertion, together with a congenital defect of septal tricuspid valve leaflet, contributes to predisposing conditions for this communication.en_US
dc.titleThe mirror image of Gerbode defect: Acquired right ventricular-to-left atrial communicationen_US
article.title.sourcetitleJournal of Cardiovascular Medicineen_US
article.volume17en_US Mai Universityen_US
Appears in Collections:CMUL: Journal Articles

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