Percutaneous closure of an acquired Gerbode defect.

An 89-year-old woman with history of bioprosthetic aortic valve replacement presented with worsening exertional dyspnoea. A transthoracic echocardiogram demonstrated the presence of a fistula between the left ventricle (LV) and right atrium (RA), consistent with an acquired Gerbode defect. Given her reluctance to pursue repeat surgery, a percutaneous approach for definitive closure was performed. …