# Swiss Cheese Heart: A Tale of Multiple Valve Perforations

## TL;DR

This paper describes a rare heart condition involving multiple valve perforations and a Gerbode defect in a patient with bicuspid aortic valve and endocarditis.

## Contribution

The novelty lies in presenting an exceedingly rare case of Gerbode defect combined with multiple valve perforations in a unique clinical context.

## Key findings

- The patient had a Gerbode defect associated with multiple valve perforations.
- The condition occurred alongside bicuspid aortic valve and endocarditis.
- The case highlights the complexity of diagnosing and managing such rare cardiac anomalies.

## Abstract

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.