J Transcat Intervent.2021;29:eA20210028.

Mechanical hemolysis secondary to percutaneous repair of an iatrogenic Gerbode defect with the Amplatzer™ Septal Occluder

Marcio José Montenegro Costa ORCID logo , Edgard Freitas Quintella ORCID logo , Leonardo Hadid ORCID logo , Verônica Nasr ORCID logo , Maximiliano Otero Lacoste ORCID logo , Alexandre Fuchs ORCID logo

DOI: 10.31160/JOTCI202129A20210028

ABSTRACT

The Gerbode defect is defined as an abnormal communication between the left ventricle and the right atrium, and is etiologically classified as congenital or acquired (iatrogenic or not). The typical treatment consists of surgical repair of the shunt, but transcatheter occlusion of this condition has proven to be a safe and effective therapeutic alternative for such patients, especially for those with prior surgeries. The aim of this study was to report a case of transcatheter closure of an acquired Gerbode defect, using the Amplatzer™ Septal Occluder device, in a 58-year-old patient, with two prior mitral valve replacements, and the consequent post-procedure mechanical hemolysis.

Mechanical hemolysis secondary to percutaneous repair of an iatrogenic Gerbode defect with the Amplatzer™ Septal Occluder

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