AccScience Publishing / BH / Volume 2 / Issue 1 / DOI: 10.36922/bh.1701
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CASE REPORT

Percutaneous management of Lutembacher’s syndrome: A case report

Abhimanyu Uppal1* Rambabu Sharma2 Gyarsi L. Sharma1 Ashok Garg1
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1 Department of Cardiology, Jaipur Heart Institute, Jaipur, Rajasthan, India
2 Department of Pediatrics, JK Lone Hospital, SMS Medical College, Jaipur, Rajasthan, India
Brain & Heart 2024, 2(1), 1701 https://doi.org/10.36922/bh.1701
Submitted: 28 August 2023 | Accepted: 15 November 2023 | Published: 6 February 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

The definitive percutaneous management of Lutembacher’s syndrome (LS) is a recognized alternative to surgery in selected cases. This intervention involves balloon mitral valvuloplasty (BMV) followed by device closure of the atrial septal defect (ASD). However, despite its recognition, certain challenges inherent to the procedure have not been highlighted in the majority of earlier case reports. The subject of the present case is a 30-year-old male diagnosed with LS who underwent definitive percutaneous treatment. The coexisting ASD required improvisation to facilitate balloon insertion across the mitral valve using the modified Inoue technique. Furthermore, the ASD device was deliberately oversized to prevent device embolization. This case highlights that percutaneous management of LS is not merely a combination of BMV and device closure procedures. Instead, the unique anatomic and hemodynamic features of LS should be considered when formulating treatment strategies for these patients.

Keywords
Atrial septal defect
Mitral stenosis
Modified Inoue technique
Balloon manipulation
Funding
None.
References
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Conflict of interest
The authors declare that they have no competing interests.
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Brain & Heart, Electronic ISSN: 2972-4139 Published by AccScience Publishing