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Medicina (Buenos Aires)
Print version ISSN 0025-7680
Abstract
CONTRERAS, Alejandro E.; BRENNA, Eduardo J. and PEIRONE, Alejandro R.. Temporary occlusion of atrial septal defect in the Lutembacher syndrome. Medicina (B. Aires) [online]. 2011, vol.71, n.4, pp.366-368. ISSN 0025-7680.
We report the case of an 82 year-old woman with symptoms of advanced heart failure and pulmonary arterial hypertension. An echocardiogram showed an ostium secundum type atrial septal defect and concomitant mitral valve stenosis (Lutembacher syndrome). Echocardiographic assessment of mitral pathology was hampered by the interatrial septal defect. Transient percutaneous occlusion test of the atrial septal defect was performed and severe mitral valve stenosis was detected. Atrial septal defect size modified the clinical manifestations and the transient occlusion test helped to decide the therapeutic strategy.
Keywords : Occlusion of atrial septal defect; Lutembacher syndrome.