Contreras Alejandro E, Brenna Eduardo J, Peirone Alejandro R
Servicio de Cardiología, Hospital Privado Centro Médico de Córdoba, Argentina.
Medicina (B Aires). 2011;71(4):366-8.
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.
我们报告了一例82岁女性患者，其有晚期心力衰竭和肺动脉高压症状。超声心动图显示继发孔型房间隔缺损并伴有二尖瓣狭窄（鲁登巴赫综合征）。房间隔缺损妨碍了对二尖瓣病变的超声心动图评估。进行了房间隔缺损的经皮临时封堵试验，检测到严重二尖瓣狭窄。房间隔缺损大小改变了临床表现，临时封堵试验有助于确定治疗策略。
