<b><span style="font-family:Verdana;">Background</span></b><b><span style="font-family:Verdana;">: </span></b><span style="font-family:Verdana;">Left ventricular to right atrial communications (LV-RA) or the Gerbode defects are rare and complex types of ventricular septal defect. Their clinical diagnosis is not specific. However, </span><span style="font-family:Verdana;">the main clue to identifying Gerbode defect comes from</span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">Doppler-coupled echocardiography (TTE), and the tr</span><span><span style="font-family:Verdana;">eatment is mainly surgical. </span><b><span style="font-family:Verdana;">Aim</span></b></span></span><b><span style="font-family:Verdana;">:</span></b><span style="font-family:Verdana;"> <span style="font-family:Verdana;">We hereby report our experience in</span></span><span style="font-family:""><span style="font-family:Verdana;"> surgica</span><span style="font-family:Verdana;">l </span><span style="font-family:Verdana;">management of Gerbode defect through two</span></span><span style="font-family:""><span style="font-family:Verdana;"> exceptional </span><span><span style="font-family:Verdana;">congenital cases (type 1 and type 2 of Gerbode defect). </span><b><span style="font-family:Verdana;">Case</span></b></span></span><b><span style="font-family:""> </span></b><b><span style="font-family:Verdana;">Presentation</span></b><b><span style="font-family:Verdana;">: </span></b><span style="font-family:""><span style="font-family:Verdana;">The diagnosis was </span><span style="font-family:Verdana;">established in adult patients, the first case is a 27-year-old woman who had </span><span style="font-family:Verdana;">dyspnea, and in whom the TTE revealed LV-RA communication, with repercussions </span><span style="font-family:Verdana;">on the right cavities. The second case is a 23-year-old</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdan