Fig. 2
a Intraoperative view demonstrating the acquired Gerbode defect after removing the septal leaflet and part of the anterior leaflet of the tricuspid valve. b A diagram representing the extension of the destructed valvular tissue. c Hydraulic maneuver after closure of the acquired Gerbode defect and reconstruction of the septal leaflet of the tricuspid valve. d A diagram demonstrating the final view of the operation