“Holes-in-one”: A case of concurrent windsock mitral valve, root abscess, and Gerbode defect

Tom Kai Ming Wang; Haytham Elgharably; Paul Cremer

doi:10.1111/echo.14703

“Holes-in-one”: A case of concurrent windsock mitral valve, root abscess, and Gerbode defect

Tom Kai Ming Wang^*, Haytham Elgharably, Paul Cremer

^*Corresponding author for this work

Medicine, Cardiology Division

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Infective endocarditis is a heterogeneous disease with a wide array of pathological lesions. We present a 55-year-old man with severe mitral and aortic regurgitation on transthoracic echocardiography. Transesophageal echocardiogram characterized the mechanisms detecting a windsock mitral valve perforation, aortic root abscess, and Gerbode ventricular septal defect, with the deep transgastric view showing all three pathologies concurrently. The etiologies of mitral valve perforation and Gerbode defects are discussed. Transesophageal echocardiography remains a critical imaging modality to diagnose and evaluate the extent of infective endocarditis with superior sensitivity to transthoracic echocardiography.

Original language	English (US)
Pages (from-to)	935-938
Number of pages	4
Journal	Echocardiography
Volume	37
Issue number	6
DOIs	https://doi.org/10.1111/echo.14703
State	Published - Jun 1 2020

Funding

TKMW received an overseas clinical and research fellowship grant from the National Heart Foundation of New Zealand (number 1775).

Keywords

aortic regurgitation
Gerbode defect
infective endocarditis
mitral regurgitation
transesophageal echocardiography

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1111/echo.14703

Cite this

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title = "“Holes-in-one”: A case of concurrent windsock mitral valve, root abscess, and Gerbode defect",

abstract = "Infective endocarditis is a heterogeneous disease with a wide array of pathological lesions. We present a 55-year-old man with severe mitral and aortic regurgitation on transthoracic echocardiography. Transesophageal echocardiogram characterized the mechanisms detecting a windsock mitral valve perforation, aortic root abscess, and Gerbode ventricular septal defect, with the deep transgastric view showing all three pathologies concurrently. The etiologies of mitral valve perforation and Gerbode defects are discussed. Transesophageal echocardiography remains a critical imaging modality to diagnose and evaluate the extent of infective endocarditis with superior sensitivity to transthoracic echocardiography.",

keywords = "aortic regurgitation, Gerbode defect, infective endocarditis, mitral regurgitation, transesophageal echocardiography",

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AB - Infective endocarditis is a heterogeneous disease with a wide array of pathological lesions. We present a 55-year-old man with severe mitral and aortic regurgitation on transthoracic echocardiography. Transesophageal echocardiogram characterized the mechanisms detecting a windsock mitral valve perforation, aortic root abscess, and Gerbode ventricular septal defect, with the deep transgastric view showing all three pathologies concurrently. The etiologies of mitral valve perforation and Gerbode defects are discussed. Transesophageal echocardiography remains a critical imaging modality to diagnose and evaluate the extent of infective endocarditis with superior sensitivity to transthoracic echocardiography.

KW - aortic regurgitation

KW - Gerbode defect

KW - infective endocarditis

KW - mitral regurgitation

KW - transesophageal echocardiography

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“Holes-in-one”: A case of concurrent windsock mitral valve, root abscess, and Gerbode defect

Abstract

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