Lutembacher Syndrome

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What is Lutembacher Syndrome ?  

A type of congenital heart disease affecting one of the chambers of the heart and a valve of the heart, usually with atrial septal defect and mitral valve stenosis. The affected person can be born with it or develop later in life.


Cause(s) :  
  • Congenital
Symptoms :  Symptoms of Lutembacher’s syndrome are classified into major and minor symptoms

Major symptoms:
  • Right ventricular overload and right-sided heart failure
  • Palpiations caused by blood flowing from left atrium to the right atrium causes a higher left atrial pressure and mitral stenosis.
  • Pulmonary congetion: Blood or fluid pools within the lungs.
  • Heart sounds: There is a loud mitral S1 and wide fixed split of pulmonary S2.
  • Systolic and diastolic murmurs: Caused by an increased blood flow through the tricuspid valve due to ASD.
Minor symptoms:
  • Fatigue: Decreased blood flow to the body.
  • Reduced tolerance to exercise
  • Weight gain
  • Ankle edema
  • Right upper quadrant pain
  • Ascites (abnormal build up of fluid spaces between abdomen lining and abdominal organs
  • Paroxysmal nocturnal dyspnea, orthopnea and hemoptysis
Diagnosis and Tests :  
  • Examination of heart sounds
  • Electrocardiogram
  • Chest radiogram
  • Transthoracic or transesophageal echocardiography
  • Color flow mapping
  • Doppler imaging
  • Chest X-ray
  • Cardiac catherization
Specialist to consult :  Cardiology

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