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Lutembacher’s syndrome: a case report

Stanko Biočić ; Clinical Hospital Dubrava, Zagreb, Croatia
Diana Rudan ; Clinical Hospital Dubrava, Zagreb, Croatia
Josip Vincelj ; Clinical Hospital Dubrava, Zagreb, Croatia

Abstract

Lutembacher’s syndrome refers to a con- genital atrial septal defect (ASD) complicated by aquired mitral stenosis (MS). It was first described by Lutembacher, a French physician, in 1916. This syndrome is a very rare disease, it is found that the incidence of Lutembacher’s syndrome is 0.001/10,00000. The hemodynamic effects of this syndrome are a result of the inter- play between the relative effects of the ASD and MS.
We present a 54-year-old female referred to hospital for echocardiographic evaluation of previously diagnosed mild MS. She reported progression of dyspnea over the last month. Two years ago, she was admitted to another hospital because of heart failure and transthoracic echo- cardiography (TTE) revealed moderate MS with perserved left ventricular systolic function. We performed TTE and transesophageal echocardiogram and found severe MS with ASD that was previously unrecognised. The diagnosis of Lutembacher’s syndrome was established.
This case demonstrates the presence of this rare disease in our population, but we would also like to stress the importance of the role of echocardiography in identifying many clinical syndromes including this one.

Keywords

Lutembacher”s syndrome; atrial septal defect; mitral stenosis; echocardiography

Hrčak ID:

112563

URI

https://hrcak.srce.hr/112563

Publication date:

2.10.2013.

Article data in other languages: croatian

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