Gerbode Defect (LV → RA Shunt) on Echocardiogram After MVR, on second post op day surgeon heard a pansystolic murmur, cardiologist is asked to rule out paravalvular MR. Patient stable hemodynamically, extubated, comfortable. Loud PSM is heard, echo shows acquired LV→RA shunt. Dr. Gopalan Rajesh @DrRajeshG1 #Gerbode #Defect #Shunt #Echocardiogram #POCUS #clinical #cardiology #a4c #doppler