Lutembacher syndrome: Dilemma of doing a tricuspid annuloplasty

Varsha, AV; George, Gladdy; Sahajanandan, Raj

doi:10.4103/aca.aca_36_17

Cited by 13 publications

(9 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The left-to-right shunt of the ASD can lead to right heart overload, increased pulmonary blood flow, and pulmonary hypertension [Varsha 2017]. MV stenosis and increased leftto-right shunt result in increased left atrial pressure, which in turn leads to atrial dilation.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Lutembacher Syndrome with a Huge Right Atrium: A Case Report

Yang

Zhang

Han

et al. 2021

HSF

View full text Add to dashboard Cite

Background: Lutembacher’s syndrome (LS) is a rare cardiovascular anomaly that is defined as any combination of congenital or iatrogenic atrial septal defect (ASD) with congenital or acquired mitral stenosis (MS). The clinical features and hemodynamic effects of LS depend on the balance between ASD and MS. Case Report: In this case report, we describe a rare case of LS with a huge right atrium in a 39-year-old male patient who was admitted to the hospital with worsening fatigue and breathlessness on exertion. Clinical examination revealed central cyanosis, raised jugular venous pressure bilaterally, clear breath sounds bilaterally with no dry and wet rales, hyperdynamic apex beat, and dull heart sounds. His vital signs on admission included blood pressure of 90/60 mmHg, irregular pulse of 76 beats/min, and oxygen saturation of 90.4%. Echocardiography revealed moderate to severe MS with ASD (ostium secundum). The patient’s condition deteriorated after initial medical management, and he underwent open heart surgery for mitral valve replacement, ASD repair, tricuspid annuloplasty, and right atrial volume reduction. Conclusions: This case report describes the successful surgical management of this rare condition.

show abstract

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Lutembacher Syndrome with a Huge Right Atrium: A Case Report

Yang

Zhang

Han

et al. 2021

HSF

View full text Add to dashboard Cite

show abstract

“…It is estimated that 75% of cardiac myxomas arise within the left atrium. Other locations include the right atrium in 23% of cases and the ventricular cavity in 2% of cases [7]. This tumor affects mainly middle-aged female patients with a female-to-male ratio of 2 to 1 [6].…”

Section: Discussion Epidemiologymentioning

confidence: 99%

Unusual Cause of Stroke

Borcheni

Kandah

Abdelazeem

et al. 2020

Cureus

View full text Add to dashboard Cite

Every year, more than 795,000 people in the United States have a stroke, the vast majority of which are ischemic. Cardiac myxoma is an unusual cause of stroke and accounts for less than 1% of ischemic strokes. We present a case of a 56-year-old male with a history of hypertension, dyslipidemia, and type 2 diabetes mellitus, who presented with altered mental status, tinnitus, double vision, and diaphoresis. Due to concern for a cerebral vascular accident, a CT scan of the brain was obtained and showed no acute intracranial process. Brain MRI revealed multiple small acute infarcts involving bilateral posterior cerebral artery distribution. Further evaluation included transthoracic echocardiography that showed a large mobile mass in the left atrium measuring 3.5 x 2 cm intermittently projecting through the mitral valve. The patient underwent successful surgical resection of the left atrial mass. The pathology report confirmed the diagnosis of atrial myxoma. This case further highlights the importance of complete evaluation of stroke, including echocardiography, as well as the importance of careful surgical resection to prevent recurrence of systemic embolization and other complications of atrial myxoma.

show abstract

“…El grado de fragilidad se asocia de manera repetida en diferentes estudios con aumento de la morbilidad postoperatoria, mayor tiempo de estancia hospitalaria, necesidad de traslado a instituciones para continuar la recuperación, mayor gasto sanitario y mayor mortalidad [51][52][53][54] . La intervención y todo el proceso perioperatorio suponen un estrés fisiológico que afecta de manera significativa la capacidad funcional y fisiológica de los pacientes con caídas de hasta el 40% sobre su capacidad basal 25,[55][56][57][58][59][60] . Incluso en algunos pacientes, la recuperación de su estado funcional basal puede ser muy prolongada.…”

Section: Prehabilitaciónunclassified

“…Los cinco componentes básicos de la prehabilitación cardiaca son: evaluación del estado funcional basal, entrenamiento físico, nutrición/asesoramiento dietético, control de los factores de riesgo cardiovascular y soporte psicológico (reducción de la ansiedad). La combinación del entrenamiento físico de pocas semanas de duración (capaz de mejorar la reserva funcional), la mejora de la nutrición y el soporte psicológico se consideran los tres pilares básicos recomendables en todo programa de prehabilitación 25,[55][56][57][58][59][60] .…”

Section: Prehabilitaciónunclassified

“…Habitualmente se usan colorantes para permitir identificar el área tratada, sin que existan recomendacio-nes sobre el colorante óptimo. 59. Se recomienda el uso de soluciones antisépticas de clorhexidina alcohólica para la preparación de la piel en el momento previo a la incisión de cualquier procedimiento quirúrgico de cirugía cardiaca.…”

Section: Eliminación Del Vellounclassified

See 1 more Smart Citation

Guidelines for enhanced recovery after cardiac surgery. Consensus document of Spanish Societies of Anesthesia (SEDAR), Cardiovascular Surgery (SECCE) and Perfusionists (AEP)

et al. 2020

View full text Add to dashboard Cite

The ERAS guidelines are intended to identify, disseminate and promote the implementation of the best, scientific evidence-based actions to decrease variability in clinical practice. The implementation of these practices in the global clinical process will promote better outcomes and the shortening of hospital and critical care unit stays, thereby resulting in a reduction in costs and in greater efficiency. After completing a systematic review at each of the points of the perioperative process in cardiac surgery, recommendations have been developed based on the best scientific evidence currently available with the consensus of the scientific societies involved.

show abstract

Lutembacher syndrome: Dilemma of doing a tricuspid annuloplasty

Cited by 13 publications

References 6 publications

Surgical Treatment of Lutembacher Syndrome with a Huge Right Atrium: A Case Report

Surgical Treatment of Lutembacher Syndrome with a Huge Right Atrium: A Case Report

Unusual Cause of Stroke

Guidelines for enhanced recovery after cardiac surgery. Consensus document of Spanish Societies of Anesthesia (SEDAR), Cardiovascular Surgery (SECCE) and Perfusionists (AEP)

Contact Info

Product

Resources

About