Essop M R, Essop A R, Bedhesi S, Sareli P E
Division of Cardiology, Baragwanath Hospital, Johannesburg, South Africa.
Eur Heart J. 1995 Mar;16(3):421-3. doi: 10.1093/oxfordjournals.eurheartj.a060927.
A patient with rheumatic mitral and aortic stenosis is described in whom balloon dilatation of the mitral valve was complicated by an iatrogenic atrial septal defect with a small left to right shunt. Over the course of 4 years, the patient became progressively cyanosed and clubbed and was found to have reversed the shunt across the atrial septal defect due to the occurrence of severe tricuspid stenosis. The tricuspid valve was successfully dilated with re-establishment of a net left to right shunt. This syndrome, the first of its kind, should be appropriately termed the reversed Lutembacher syndrome.
本文描述了一名患有风湿性二尖瓣和主动脉瓣狭窄的患者，其二尖瓣球囊扩张术并发医源性房间隔缺损并伴有少量左向右分流。在4年的病程中，患者逐渐出现发绀和杵状指，由于严重三尖瓣狭窄的发生，发现房间隔缺损处的分流方向逆转。三尖瓣成功扩张，恢复了净左向右分流。这种首例出现的综合征应恰当地称为逆向鲁登巴赫综合征。
