Malviya Amit, Saha Swapan Kumar, Mishra Animesh
Department of Cardiology , NEIGRIHMS , Shillong, Meghalaya , India.
Heart Asia. 2013 Oct 8;5(1):222-4. doi: 10.1136/heartasia-2013-010390. eCollection 2013.
There are few reports on the primary percutaneous treatment of Lutembacher's syndrome for which surgery has been the traditionally accepted modality of treatment. Concerns for percutaneous treatment in this entity are: (1) it is technically demanding and the dual lesion renders negotiation of catheters and balloons difficult; (2) redo valvulotomy in the presence of an atrial septal device would be difficult; (3) it may not be suitable for all patients with the condition. We describe percutaneous treatment by a hitherto undescribed technique of separate low septal puncture and review the existing literature.
关于鲁登巴赫综合征的初次经皮治疗的报道很少,传统上手术一直是被认可的治疗方式。对于该病症的经皮治疗存在以下担忧:(1)技术要求高,双重病变使导管和球囊的操作困难;(2)存在房间隔装置时再次进行瓣膜切开术会很困难;(3)它可能并不适用于所有患有该病症的患者。我们描述了一种此前未描述过的单独低位间隔穿刺技术进行经皮治疗,并对现有文献进行了综述。