Gerbode defect, an anomalous connection between the left ventricle and right atrium, is often congenital but can be acquired or iatrogenically formed. We present an exceedingly rare case of this defect associated with multiple valve perforation in an otherwise healthy patient with bicuspid aortic valve and endocarditis.
Keywords: Gerbode defect; bicuspid aortic valve; infective endocarditis; intracardiac shunting; ventricular septal defect.
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