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Case Reports
. 2014 Jun;4(3):263-6.
doi: 10.3978/j.issn.2223-3652.2014.06.01.

Occurrence of Lutembacher syndrome in a rural regional hospital: case report from Buea, Cameroon

Leopold N Aminde  1 , Anastase T Dzudie  1 , Noah F Takah  1 , Jean Claude Ambassa  1 , Sylvester Y Mapoh  1 , Jacques Cabral Tantchou  1
Affiliations
Case Reports

Occurrence of Lutembacher syndrome in a rural regional hospital: case report from Buea, Cameroon

Leopold N Aminde et al. Cardiovasc Diagn Ther. 2014 Jun.

Abstract

Introduction: Lutembacher syndrome (LS) is a rare cardiac clinical entity marked by the combination of an atrial septal defect (ASD) and mitral stenosis (MS). Its prognosis is influenced by several factors.

Case report: We present the case of a young adult male who presented with a 10-month history of exertional dyspnea, orthopnoea, fatigue and cough. Clinical examination revealed features suggestive of advanced congestive heart failure. Echocardiography revealed severe MS and a secundum type ASD with pulmonary hypertension. Patient died on second day of admission.

Conclusions: LS is a very rare condition. The outcome is better if treated before the onset of heart failure and pulmonary hypertension. However, surgical and percutaneous trans-catheter therapy is costly and not readily available in low-income settings in developing countries.

Keywords: Cameroon; Lutembacher syndrome (LS); Mitral stenosis (MS); atrial septal defect (ASD).

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Figures

Figure 1
Figure 1
Transthoracic echocardiographic image (Apical view) showing atrial septal defect (ASD) and mitral stenosis.
Figure 2
Figure 2
Transthoracic echocardiograph demonstrating dilated inferior vena cava following increased right atrial pressure.
Figure 3
Figure 3
Transthoracic echocardiograph showing atrial septal defect (ASD) with diameter of 28 mm.
See this image and copyright information in PMC

References

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