Acquired Left Ventricular to Right Atrial Shunt Following Bicuspid Aortic Valve Endocarditis

Introduction: Left ventricular-right atrial (LV-RA) shunts (Gerbode's defect – GD) are well-described rare congenital cardiac anomalies with distinct variations in their position and accompanying features such as abnormality of tricuspid valve development. Despite various case presentations, acquired LV-RA shunts (fistulae) secondary to bacterial endocarditis remains an undisputedly uncommon phenomenon and its presentation and the process of diagnosis to treatment is unique in each case.