{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T10:58:43Z","timestamp":1773658723383,"version":"3.50.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T00:00:00Z","timestamp":1697932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>The incidence of acquired Gerbode defect has been increasing due to advances in cardiac imaging technology, and some closure methods have been introduced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 58-year-old man developed cardiogenic shock due to acute severe aortic valve regurgitation with an acquired Gerbode defect caused by infective endocarditis. Emergency surgery was performed. A large patch with a 0.4 mm extended-polytetrafluoroethylene (e-PTFE) sheet covered with autologous pericardium was used to close the Gerbode defect, and a bioprosthetic valve was used for aortic valve replacement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Large patch closure with 0.4 mm e-PTFE sheet and autologous pericardium for fragile Gerbode defect caused by infective endocarditis might be effective with regard to sturdiness, good fitting to the tissue, and excellent resistance to bacteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We encountered a rare case of cardiogenic shock due to acute severe aortic valve regurgitation and acquired Gerbode defect caused by infective endocarditis. In our case, large-patch closure for perforation in a fragile membranous septum was effective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.108988","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T11:41:14Z","timestamp":1698320474000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Successful surgical experience for acute severe aortic valve regurgitation with acquired Gerbode defect"],"prefix":"10.1097","volume":"112","author":[{"given":"Makoto","family":"Shirakawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Fujii","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sho","family":"Onoda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromasa","family":"Yamashita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Kawase","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuzo","family":"Bessho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-76-20260316","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1046\/j.1540-8175.2002.00067.x","article-title":"Acquired left ventricular-right atrial communication","volume":"19","author":"Wasserman,","year":"2002","journal-title":"Echocaridiogrphy"},{"key":"R2-76-20260316","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1007\/s10554-015-0620-3","article-title":"Gerbode defect: another nail for the 3D transesophageal echo hammer?","volume":"31","author":"Taskesen,","year":"2015","journal-title":"Int. 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Cases"},{"key":"R9-76-20260316","first-page":"OD06","article-title":"Gerbode defect-a rare defect of atrioventricular septum and tricuspid valve","volume":"9","author":"Tidake,","year":"2015","journal-title":"J. Clin. Diagn. Res"},{"key":"R11-76-20260316","first-page":"100","article-title":"\u201cAcquired\u201d left ventricular-to-right atrial shunt (Gerbode defect) after bacterial endocarditis","volume":"22","author":"Velebit,","year":"1995","journal-title":"Tex. Heart Inst. J"},{"key":"R12-76-20260316","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1055\/s-2007-989456","article-title":"Acquired left ventricular-right atrial communication and severe aortic valve regurgitation caused by infective endocarditis","volume":"57","author":"Inoue,","year":"2009","journal-title":"Thorac. Cardiovasc. Surg"},{"key":"R13-76-20260316","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1007\/s11748-010-0768-7","article-title":"Reoperation for prosthetic ventricular septal defect patch endocarditis: long-term results with an autologous atrial septal patch","volume":"59","author":"Miyazaki,","year":"2011","journal-title":"Gen. Thorac. Cardiovasc. 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