Lutembacher Syndrome: Dilemma of Doing a Tricuspid Annuloplasty
نویسندگان
چکیده
We discuss the case of a 24-year-old woman with Lutembacher syndrome and severe tricuspid regurgitation (TR) who underwent surgical closure of atrial septal defect and mitral valve replacement without tricuspid annuloplasty despite a severe TR and a large tricuspid annulus on preoperative echo. The pathophysiology of Lutembacher syndrome is discussed below. The utility of perioperative echocardiography in assessing the annular diameter, tenting area and coaptation depth and thus providing insights into the functioning of the tricuspid valve will also be emphasized.
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Percutaneous Mitral Valvotomy in a Patient with Lutembacher Syndrome as a Bridge to Definitive Surgical Intervention
A 45-year-old female Jehovah’s Witness patient was diagnosed with Lutembacher syndrome, New York Heart Association (NYHA) class IV congestive heart failure (CHF), and severe malnutrition. An echocardiogram showed a 38 mm diameter ostium secundum atrial septal defect with a mitral valve area of 0.5 cm2 and a Wilkins score of 10. The patient had severe pulmonary hypertension at an estimated syst...
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