Jainandunsing, Jayant SBergman, RemcoWilkens, JacobWang, AngelaMichielon, GuidoNatour, Ehsan2014-11-032014Jainandunsing, Jayant S, Remco Bergman, Jacob Wilkens, Angela Wang, Guido Michielon, and Ehsan Natour. 2014. “Ventriculo-atrial defect after bioprosthetic aortic valve replacement.” Journal of Cardiothoracic Surgery 9 (1): 137. doi:10.1186/s13019-014-0137-1. http://dx.doi.org/10.1186/s13019-014-0137-1.1749-8090http://nrs.harvard.edu/urn-3:HUL.InstRepos:13347583We present a case of a 71-year-old Caucasian male with a ventriculo-atrial defect due to infective endocarditis, originating from his aortic root near a bioprosthetic aortic valve, implanted 4 years earlier. Ventriculo-atrial defects are rare and can occur after endocarditis with abscess formation, usually in native tissue. We report a ventriculo-atrial defect due to a paravalvular aortic prosthetic defect, secondary to inflammation, a novel third type of a Gerbode defect. Case presentation, clinical decision making and surgical approach are discusses in this report.en-USVentriculo-atrial defectEchocardiographyGerbode defectAortic valveJournal Article2014-11-0310.1186/s13019-014-0137-1