Percutaneous treatment of Lutembacher syndrome in a case with difficult mitral valve crossing

Most cases of combination congenital cardiac anomalies are treated with open-heart surgeries because the coexisting anomalies change the cardiac anatomy in an adverse way, making catheter manipulations complex. Lutembacher syndrome is a combination of acquired mitral stenosis and congenital ostium s...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2012-03, Vol.24 (3), p.E54-E56
Main Authors: Bhambhani, Anupam, Somanath, H S
Format: Article
Language:English
Subjects:
Adult
Angioplasty - instrumentation
Angioplasty - methods
Catheterization - instrumentation
Catheterization - methods
Echocardiography
Humans
Lutembacher Syndrome - complications
Lutembacher Syndrome - therapy
Male
Mitral Valve - diagnostic imaging
Mitral Valve Stenosis - diagnostic imaging
Mitral Valve Stenosis - etiology
Mitral Valve Stenosis - therapy
Treatment Outcome
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Summary:Most cases of combination congenital cardiac anomalies are treated with open-heart surgeries because the coexisting anomalies change the cardiac anatomy in an adverse way, making catheter manipulations complex. Lutembacher syndrome is a combination of acquired mitral stenosis and congenital ostium secundum atrial septal defect. The large defect in the septum makes an Inoue balloon catheter unstable, which provides excessive space for free floatation of the catheter, making its passage into the left ventricle difficult by Inoue technique. We present a case of elective definitive percutaneous treatment of Lutembacher syndrome, discussing the technical difficulties faced in mitral valve crossing and reviewing the possible strategies to improve chances of success.
ISSN:1557-2501