Samah El-Mhadi, Belghait El Hajjaj, Nabil Laktib, Latifa Oukerraj, M. Cherti
{"title":"一例罕见的卢滕巴赫氏综合征并发低梯度严重二尖瓣狭窄:病例报告和文献综述","authors":"Samah El-Mhadi, Belghait El Hajjaj, Nabil Laktib, Latifa Oukerraj, M. Cherti","doi":"10.1093/ehjcr/ytae327","DOIUrl":null,"url":null,"abstract":"\n \n \n Lutembacher's syndrome refers to the rare combination of atrial septal defect and mitral stenosis. This condition is still underdiagnosed despite its distinct clinical, paraclinical and therapeutic implications.\n \n \n \n We report the case of a 60-year-old woman presenting with acute congestive heart failure. Investigations revealed the combination of low-gradient severe rheumatic mitral stenosis and ostium secundum atrial septal defect. Despite the medical team's conservative management of her condition and recommendation for surgical intervention, the patient chose to discharge herself against medical advice. She deceased 6 months later.\n \n \n \n Lutembacher's syndrome continues to be a rare condition in our practice. Once low-gradient severe mitral stenosis is diagnosed, it's essential to search for an associated atrial septal defect, especially when there is an early onset of significant right ventricular enlargement or dysfunction, or when an intriguing inconsistency exists between the mitral area and the transmitral gradient.\n","PeriodicalId":507701,"journal":{"name":"European Heart Journal - Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Rare Case of Lutembacher’s Syndrome Presenting with Low-Gradient Severe Mitral Stenosis: Case Report and Literature Overview\",\"authors\":\"Samah El-Mhadi, Belghait El Hajjaj, Nabil Laktib, Latifa Oukerraj, M. Cherti\",\"doi\":\"10.1093/ehjcr/ytae327\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n \\n \\n Lutembacher's syndrome refers to the rare combination of atrial septal defect and mitral stenosis. This condition is still underdiagnosed despite its distinct clinical, paraclinical and therapeutic implications.\\n \\n \\n \\n We report the case of a 60-year-old woman presenting with acute congestive heart failure. Investigations revealed the combination of low-gradient severe rheumatic mitral stenosis and ostium secundum atrial septal defect. Despite the medical team's conservative management of her condition and recommendation for surgical intervention, the patient chose to discharge herself against medical advice. She deceased 6 months later.\\n \\n \\n \\n Lutembacher's syndrome continues to be a rare condition in our practice. Once low-gradient severe mitral stenosis is diagnosed, it's essential to search for an associated atrial septal defect, especially when there is an early onset of significant right ventricular enlargement or dysfunction, or when an intriguing inconsistency exists between the mitral area and the transmitral gradient.\\n\",\"PeriodicalId\":507701,\"journal\":{\"name\":\"European Heart Journal - Case Reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-07-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Heart Journal - Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1093/ehjcr/ytae327\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Heart Journal - Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/ehjcr/ytae327","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A Rare Case of Lutembacher’s Syndrome Presenting with Low-Gradient Severe Mitral Stenosis: Case Report and Literature Overview
Lutembacher's syndrome refers to the rare combination of atrial septal defect and mitral stenosis. This condition is still underdiagnosed despite its distinct clinical, paraclinical and therapeutic implications.
We report the case of a 60-year-old woman presenting with acute congestive heart failure. Investigations revealed the combination of low-gradient severe rheumatic mitral stenosis and ostium secundum atrial septal defect. Despite the medical team's conservative management of her condition and recommendation for surgical intervention, the patient chose to discharge herself against medical advice. She deceased 6 months later.
Lutembacher's syndrome continues to be a rare condition in our practice. Once low-gradient severe mitral stenosis is diagnosed, it's essential to search for an associated atrial septal defect, especially when there is an early onset of significant right ventricular enlargement or dysfunction, or when an intriguing inconsistency exists between the mitral area and the transmitral gradient.