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Unusual cause of dyspnoea: a case presentation of an echocardiographic pitfall.

Title: Unusual cause of dyspnoea: a case presentation of an echocardiographic pitfall.
Authors: Primus C; Department of Cardiology and Intensive Care, General Hospital Braunau, Ringstrasse 60, Braunau A - 5280, Austria. capri_scrub@yahoo.de.; Grabscheit G; Ng CK; Auer J
Source: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2013 Dec 17; Vol. 8, pp. 230. Date of Electronic Publication: 2013 Dec 17.
Publication Type: Case Reports; Journal Article
Language: English
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 101265113 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-8090 (Electronic) Linking ISSN: 17498090 NLM ISO Abbreviation: J Cardiothorac Surg Subsets: MEDLINE
Imprint Name(s): Original Publication: [London] : BioMed Central, 2006-
MeSH Terms: Cardiovascular Abnormalities/*diagnostic imaging ; Cardiovascular Abnormalities/*etiology ; Dyspnea/*etiology ; Echocardiography/*methods ; Heart Valve Prosthesis Implantation/*adverse effects; Aortic Valve/surgery ; Cardiovascular Abnormalities/diagnosis ; Dyspnea/diagnostic imaging ; Hypertension, Pulmonary/diagnosis ; Aged ; Diagnosis, Differential ; Female ; Humans
Abstract: Congenital or acquired communication between the left ventricle and the right atrium is known as the Gerbode defect, which is rarely diagnosed since the defect is very unusual and for this reason often misinterpreted as an eccentric tricuspid regurgitation jet. The entity and reason of the defect is unknown to many physicians, so that profound knowledge and a careful and meticulous echocardiogram are necessary in order to prevent misinterpretation of this defect as a pulmonary hypertension. We report the case of a 76-year-old Austrian woman who developed such a Gerbode defect after a recent bioprosthetic aortic valve replacement.
References: Ann Surg. 1958 Sep;148(3):433-46. (PMID: 13571920); Ann Thorac Surg. 2010 Feb;89(2):643-5. (PMID: 20103373); Cardiovasc Ultrasound. 2010 Sep 30;8:44. (PMID: 20920293)
Entry Date(s): Date Created: 20131218 Date Completed: 20140814 Latest Revision: 20211021
Update Code: 20260130
PubMed Central ID: PMC3878372
DOI: 10.1186/1749-8090-8-230
PMID: 24341674
Database: MEDLINE

Case Reports; Journal Article