“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

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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 languageEnglish (US)
Pages (from-to)935-938
Number of pages4
Issue number6
StatePublished - Jun 1 2020


  • 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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