{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T03:20:07Z","timestamp":1781493607666,"version":"3.54.1"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,9,24]],"date-time":"2013-09-24T00:00:00Z","timestamp":1379980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Vet Emergen Crit Care"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe a case of traumatically acquired left ventricular to right atrial communication (Gerbode defect), atrial septal defect (ASD), and third\u2010degree atrioventricular block (AVB) necessitating permanent pacemaker placement in a dog.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Summary<\/jats:title><jats:p>A 1.5\u2010year\u2010old neutered male Newfoundland dog was struck by a car and was referred for further evaluation and treatment of hemoabdomen. Persistent third\u2010degree AVB, a right\u2010sided cardiac murmur and right\u2010sided congestive heart failure (CHF) were identified, and echocardiographic examination revealed a type\u2010A Gerbode defect and ASD. Pimobendan, furosemide, and enalapril therapies were initiated for treatment of CHF. Persistent AVB eventually necessitated permanent pacemaker implantation. Initial attempts at minimally invasive occlusion of the Gerbode defect were unsuccessful; however the dog continues to do well clinically on chronic cardiac medications.<\/jats:p><\/jats:sec><jats:sec><jats:title>New or Unique Information Provided<\/jats:title><jats:p>To our knowledge, an acquired Gerbode defect secondary to trauma with associated ASD, CHF, and third\u2010degree AVB necessitating permanent pacemaker therapy have not yet been reported in the veterinary literature. The extended survival and follow\u2010up available on this patient postpacemaker implantation also documents that longer term survival is possible with this defect.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vec.12094","type":"journal-article","created":{"date-parts":[[2013,10,11]],"date-time":"2013-10-11T21:57:29Z","timestamp":1381528649000},"page":"637-642","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Acquired Gerbode defect and third\u2010degree atrioventricular block secondary to vehicular trauma in a dog"],"prefix":"10.1111","volume":"23","author":[{"given":"Suzanne M.","family":"Cunningham","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences Cummings School of Veterinary Medicine, Tufts University  North Grafton MA 01536"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen J.","family":"Lindsey","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Cummings School of Veterinary Medicine, Tufts University  North Grafton MA 01536"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John E.","family":"Rush","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Cummings School of Veterinary Medicine, Tufts University  North Grafton MA 01536"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195809000-00012"},{"issue":"8","key":"e_1_2_6_3_1","first-page":"198","article-title":"Congenital communication between the left ventricle and the right atrium; 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