Acquired Gerbode defect after aortic valve replacement.

![Figure][1] [![Graphic][3] ][3][![Graphic][4] ][4][![Graphic][5] ][5] A 78-year-old man with bioprosthetic aortic valve replacement presented with leg edema. Two-dimensional transthoracic echocardiography revealed a high-velocity systolic jet entering the right atrium (RA)