Although most intracardiac defects are congenital. a small fraction may be acquired during life. The Gerbode defect is an abnormal anatomical connection between the left ventricle and the right atrium. We describe herein a patient who initially underwent repair of tetralogy of Fallot (TOF). https://www.bekindtopets.com/hot-mega-Jeffers-Economy-600D-Royal-Blue-Teal-Plaid-Horse-Blanket-super-sale/