Lutembacher’s syndrome accompanied by partial anomalies of pulmonary veins in a 70-year-old male: a case of congenital heart disease in the elderly
  • Mohammad Nasser Khattab
    Department of Cardiology, Al Bassel Heart institute, Damascus, Syria
  • Mohammad Marwan Alhalabi
    Department of Cardiology, University of Damascus Faculty of Medicine, Damascus, Syria
  • Karam Alkounsol
    Department of Cardiology, Al Bassel Heart institute, Damascus, Syria
  • Majed Othman
    Department of Cardiac Surgery, Al Bassel Heart institute, Damascus, Syria
  • Nizar Hujair
    Department of Cardiology, Al Bassel Heart institute, Damascus, Syria

Keywords

Congenital heart defect, Elderly congenital heart disease, Adult congenital defect, Atrial septal defect, Mitral stenosis, Anomalous pulmonary venous return

Abstract

Lutembacher’s syndrome is a rare disease defined as the combination of atrial septal defect and mitral stenosis, which relieves the progression of symptoms resulting from mitral stenosis. We present a case of a previously asymptomatic 70-year-old man having Lutembacher’s syndrome with sinus venosus type of interatrial defect associated with partial anomalous pulmonary venous drainage. Our patient’s only complaint was of mild exertional dyspnea, which started six months prior to referral. Clinical suspicion of the combination of defects arose during transthoracic echocardiography. The patient underwent transesophageal echocardiography and multi-slice computed tomography for defect confirmation. The combination of Lutembacher’s syndrome with this complex deformity of pulmonary venous drainage has rarely been described. Such complex congenital defects with multifaceted physiological repercussions can go largely undiagnosed for the patients affected for most of their lifetimes.

VIEW THE ENTIRE ARTICLE

References

  • Ali SY, Rahman M, Islam M, Barman RC, Ali MY, Islam MMSU, et al. Lutembacher’s Syndrome- A Case Report. Faridpur Med Coll J 2011;6:59–60.
  • Oliver J, Gallego P, Gonzalez A, Dominguez F, Aroca A, Mesa J. Sinus venosus syndrome: atrial septal defect or anomalous venous connection? A multiplane transoesophageal approach. Heart 2002;88:634-638.
  • Van Praagh S, Carrera ME, Sanders SP, Mayer JE, Van Praagh R. Sinus venosus defects: unroofing of the right pulmonary veins—anatomic and echocardiographic findings and surgical treatment. Am Heart J 1994;128:365-379.
  • Shende S, Inamdar A, Inamdar S. Sinus venosus atrial septal defect with severe mitral stenosis: A rare presentation. Med J DY Patil Univ 2015;8:392-394.
  • Vaideeswar P, Marathe S. Lutembacher’s syndrome: Is the mitral pathology always rheumatic? Indian Heart J 2017; 69: 20–23.
  • Goldfarb B, Wang Y. Mitral stenosis and left to right shunt at the atrial level. A broadened concept of the Lutembacher syndrome. Am J Cardiol 1966;17:319–326.
  • El-Sherif N, El-Mallah S, El-Ramli Z, Sorour A. The acquired Lutembacher’s syndrome a cause for” Silent” mitral stenosis. J Egypt Med Assoc 1968;51:723-736.
  • Cheng TO. Coexistent atrial septal defect and mitral stenosis (Lutembacher syndrome): An ideal combination for percutaneous treatment. Catheter Cardiovasc Interv 1999;48:205-206.

    • Views: 205
    HTML downloads: 358
    PDF downloads: 63

    Published: 2023-10-05
    Issue: 2023: Vol 10 No 11 (view)

    How to cite:
    1.
    Khattab MN, Alhalabi M, Alkounsol K, Othman M, Hujair N. Lutembacher’s syndrome accompanied by partial anomalies of pulmonary veins in a 70-year-old male: a case of congenital heart disease in the elderly. EJCRIM 2023;10 doi:10.12890/2023_004089.