Two-dimensional echocardiography in Lutembacher's syndrome

Yan, Peter; Chia, B.L.; Tan, Augustine H. H.; Choo, Maurice H.; Saw, H.S.; Tay, Monica B.

doi:10.1016/0002-8703(88)90465-6

Cited by 4 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pojava Eisenmengerov sindroma u Lutembacherovu sindromu je izuzetno rijetka zbog prisustva velikog interatrijskog septalnog defekta i visokog tlaka u lijevom atriju zbog MS. KliniËka sumnja na postojanje ovog sindroma trebala bi biti prisutna u bolesnika s anamnezom reumatske vruÊice koji imaju ASD i srËano popuπtanje. Uloga ehokardiografije (2D TTE uz obojani Doppler i konvencionalni kontrast, a osobito TTE i TEE 3D prikaz) u dijagnozi ovog sindroma je krucijalna i moguÊe jedina dijagno-stiËka metoda potrebna prije intervencijske ili kiruπke korekcije 3,4 . Prije je kiruπka korekcija oba defekta bila jedina opcija u lijeËenju, ali danas, razvojem medicine i novim intervencijskim moguÊnostima, oba ova defekta moguÊe je korigirati perkutanim transkateterskim pristupom [5][6][7] .…”

Section: Discussionunclassified

“…Eisenmenger syndrome is very uncommon in the presence of large ASD and high left atrial pressure because of MS. Clinical suspicion of Lutembacher's syndrome should be raised by history of rheumatic heart disease, heart failure and ASD. The role of echocardiography (2D TTE with color Doppler echocardiography, using conventional contrast technique and 3D TTE and TEE) in identifying this syndrome is well documented and it is suggested that this may be the only diagnostic technique needed before interventional or surgical correction 3,4 . Surgical correction has been previously the treatment of choice.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lutembacher’s syndrome: a case report

Biočić¹,

Rudan²,

Vincelj³

2013

Cardiol Croat.

View full text Add to dashboard Cite

PedesetËetverogodiπnja pacijentica s anamnezom preboljele reumatske groznice u djetinjstvu i arterijskom hipertenzijom u nekoliko je navrata hospitalizirana zbog zaduhe u sklopu srËanog zatajivanja. Koronarografijom, uËinjenom 4 godine ranije, nije dokazana koronarna bolest srca. Sada je transtorakalna ehokardiografija (TTE) indicirana zbog pogorπanja zaduhe unazad mjesec dana. Pacijentica je afebrilna, nepravilnih otkucaja srca frekvencije oko 70/min te izmjerenog arterijskog tlaka 100/70 mmHg. Bolesnica je bila tahipnoiËna, ortopnoiËna i cijanotiËna. Auskultatorno se registrira holosistoliËki πum i dijastoliËko bubnjanje u podruËju apeksa. Na okrajinama su prisutni bilateralni edemi s palpabilnim perifernim pulzacijama. Elektrokardiografski se biljeaei atrijska fibrilacija s frekvencijom 70/min. LijeËena je beta-blokatorom, diuretikom i oralnom antikoagulantnom terapijom. Case reportA 54-year-old female with a past medical history of reumatic fever as a child and hypertension was previously hospitalized on several occasions for severe shortness of breath due to heart failure. Left side cardiac catheterisation that was done 4 years ago showed coronary arteries without stenosis. She was referred to transthoracic echocardiography (TTE) for evaluation of progression of shortness of breath over the last month. On physical examination she was afebrile. Her blood pressure was 100/70 mmHg and pulse was irregular at a rate of 70 beats per minute. The patient was tachypneic, orthopneic and cyanotic. A grade II/IV holosystolic murmur and a diastolic rumble were heard at the cardiac apex. The examination of lower extremities revealed palpable pulses and ankle edema bilaterally. Electrocardiogram showed atrial fibrilation and chest X-ray revealed signs of pulmonary congestion. She was treated with beta-blockers, diuretics and oral anticoagulant therapy.

show abstract

Section: Discussionunclassified

Section: Discussionmentioning

confidence: 99%

Lutembacher’s syndrome: a case report

Biočić¹,

Rudan²,

Vincelj³

2013

Cardiol Croat.

View full text Add to dashboard Cite

show abstract

“…The role of 2D and Doppler echocardiography in identifying Lutembacher's syndrome is well documented and it is suggested that this may be the only diagnostic technique needed before surgical correction of the lesions in younger patients. 14,15 Limitations and unique advantages of echocardiography in the setting of Lutembacher's syndrome should be recognized. Although the Doppler-derived pressure half-time method is commonly used to estimate MVA, this method may lead to underestimation of the severity of mitral stenosis in patients with ASD.…”

Section: Discussionmentioning

confidence: 99%