Bhambhani Anupam, Somanath H S
Department of Cardiology, Yashoda Hospital, Secunderabad, India.
J Invasive Cardiol. 2012 Mar;24(3):E54-6.
Most cases of combination congenital cardiac anomalies are treated with open-heart surgeries because the coexisting anomalies change the cardiac anatomy in an adverse way, making catheter manipulations complex. Lutembacher syndrome is a combination of acquired mitral stenosis and congenital ostium secundum atrial septal defect. The large defect in the septum makes an Inoue balloon catheter unstable, which provides excessive space for free floatation of the catheter, making its passage into the left ventricle difficult by Inoue technique. We present a case of elective definitive percutaneous treatment of Lutembacher syndrome, discussing the technical difficulties faced in mitral valve crossing and reviewing the possible strategies to improve chances of success.
大多数先天性心脏联合畸形病例采用心脏直视手术治疗，因为并存的畸形会以不利方式改变心脏解剖结构，使导管操作变得复杂。鲁滕巴赫综合征是后天性二尖瓣狭窄与先天性继发孔房间隔缺损的联合病变。房间隔上的大缺损使得Inoue球囊导管不稳定，为导管自由漂浮提供了过多空间，导致通过Inoue技术将其送入左心室困难。我们报告一例鲁滕巴赫综合征择期确定性经皮治疗病例，讨论二尖瓣穿刺过程中面临的技术难题，并回顾提高成功几率的可能策略。
