Percutaneous treatment of the Gerbode defect causing heart failure after mitral valve surgery

A 45-year-old female who underwent mechanical mitral valve (MV) replacement 10 years before presentation was hospitalized for decompensated heart failure. Transthoracic echoFigure 1. (a and b) Transthoracic echocardiographic images showing the Gerbode defect (GD) in the region marked with an arrow. (c) Image of the Amplatzer Duct Okluder-1 (ADO-1) in the postoperative GD region. (d) ADO-1 preventing the GD-related passage cardiography (TTE) revealed normal left ventricular diameters and ejection fraction, dilated left atrium, dilated right atrium (RA), and dilated right ventricle. Moderate tricuspid valve (TV) regurgitation was observed, and pulmonary artery systolic pressure was 65 mmHg. MV functions were within normal limits.