PDF(Pubmed)
Abstract：
BACKGROUND: The Gerbode defect is an infrequent cardiac anomaly, with an incidence below 1 % in current worldwide literature. It consists of a communication between the left ventricle and right atrium in the membranous septum with consequential hemodynamical and structural heart changes and can present as either congenital or acquired. The concomitant affectation of the tricuspid valve poses its difficulty as a diagnostic and therapeutical challenge.
METHODS: This case report presents a 27-year-old patient with an incidental finding of congenital Gerbode defect with hemodynamical repercussion during surgical treatment for multidisciplinary management in the context of open thoracic trauma.
CONCLUSIONS: This defect has been infrequently described in the literature, and although several classification methods have been proposed, its diagnosis is challenging and must be considered when faced with nonspecific cardiac systems.
CONCLUSIONS: It reports an infrequent congenital heart defect posing as traumatic or postoperative, generating a challenging diagnosis and successful surgical treatment given to the patient using a multidisciplinary approach to further broaden scientific literature on such an underrepresented pathology.
METHODS: This case report presents a 27-year-old patient with an incidental finding of congenital Gerbode defect with hemodynamical repercussion during surgical treatment for multidisciplinary management in the context of open thoracic trauma.
CONCLUSIONS: This defect has been infrequently described in the literature, and although several classification methods have been proposed, its diagnosis is challenging and must be considered when faced with nonspecific cardiac systems.
CONCLUSIONS: It reports an infrequent congenital heart defect posing as traumatic or postoperative, generating a challenging diagnosis and successful surgical treatment given to the patient using a multidisciplinary approach to further broaden scientific literature on such an underrepresented pathology.
摘要：
背景：Gerbode缺陷是一种罕见的心脏异常，在目前的全球文献中，发病率低于1%。它由左心室和右心房在膜间隔之间的连通组成，并伴随着血液动力学和结构性心脏变化，可以表现为先天性或获得性。三尖瓣的伴随作用给诊断和治疗带来了困难。
方法：本病例报告介绍了一名27岁的患者，该患者偶然发现先天性Gerbode缺损，在开放性胸外伤的背景下，在多学科管理的手术治疗过程中血流动力学消退。
结论：文献中很少描述这种缺陷，尽管已经提出了几种分类方法，它的诊断具有挑战性,在面对非特异性心脏系统时必须加以考虑.
结论：它报告了罕见的先天性心脏缺陷，表现为外伤或术后，使用多学科方法为患者提供具有挑战性的诊断和成功的手术治疗，以进一步扩大关于这种代表性不足的病理学的科学文献。
方法：本病例报告介绍了一名27岁的患者，该患者偶然发现先天性Gerbode缺损，在开放性胸外伤的背景下，在多学科管理的手术治疗过程中血流动力学消退。
结论：文献中很少描述这种缺陷，尽管已经提出了几种分类方法，它的诊断具有挑战性,在面对非特异性心脏系统时必须加以考虑.
结论：它报告了罕见的先天性心脏缺陷，表现为外伤或术后，使用多学科方法为患者提供具有挑战性的诊断和成功的手术治疗，以进一步扩大关于这种代表性不足的病理学的科学文献。
