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.spidertattooz.com/Alpha-Industries-X-Detroit-Tigers-Green-59FIFTY-Fitted-Hat/