Lutembacher's syndrome percutaneous approach: Difference between revisions
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==Percutaneous approach== | ==Percutaneous approach== | ||
Traditionally, | Traditionally, Lutembacher's syndrome has been treated surgically.<ref name="pmid10506781">{{cite journal| author=Cheng TO| title=Coexistent atrial septal defect and mitral stenosis (Lutembacher's syndrome): An ideal combination for percutaneous treatment. | journal=Catheter Cardiovasc Interv | year= 1999 | volume= 48 | issue= 2 | pages= 205-6 | pmid=10506781 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10506781 }} </ref> Nowadays, it can be treated with percutaneous transcathetar mitral commissurotomy (PTMC) using the Inoue balloon.<ref name="pmid18454897">{{cite journal| author=Shabbir M, Ahmed W, Akhtar K| title=Transcatheter treatment of Lutembacher's syndrome. | journal=J Coll Physicians Surg Pak | year= 2008 | volume= 18 | issue= 2 | pages= 105-6 | pmid=18454897 | doi=02.2008/JCPSP.105106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18454897 }} </ref> The Inoue technique has become the procedure of choice around the world with excellent long term results.<ref name="pmid7754954">{{cite journal| author=Chen CR, Cheng TO| title=Percutaneous balloon mitral valvuloplasty by the Inoue technique: a multicenter study of 4832 patients in China. | journal=Am Heart J | year= 1995 | volume= 129 | issue= 6 | pages= 1197-203 | pmid=7754954 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7754954 }} </ref> The ASD was closed with an Amplatzer atrial septal occluder under transthoracic echocardiogram (TTE) guidance without general anesthesia.<ref name="pmid18454897">{{cite journal| author=Shabbir M, Ahmed W, Akhtar K| title=Transcatheter treatment of Lutembacher's syndrome. | journal=J Coll Physicians Surg Pak | year= 2008 | volume= 18 | issue= 2 | pages= 105-6 | pmid=18454897 | doi=02.2008/JCPSP.105106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18454897 }} </ref> By combining these two techniques in the same patient at the same cardiac catheterization, percutaneous management of Lutembacher's syndrome can obviate the morbidity and mortality associated with cardiac surgery, the psychological trauma of a thoracotomy scar, the prolonged hospital stay followed by another prolonged period of home convalescence and the possibility of repeat thoracotomy for mitral restenosis.<ref name="pmid10506781">{{cite journal| author=Cheng TO| title=Coexistent atrial septal defect and mitral stenosis (Lutembacher's syndrome): An ideal combination for percutaneous treatment. | journal=Catheter Cardiovasc Interv| year= 1999 | volume= 48 | issue= 2 | pages= 205-6 | pmid=10506781 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10506781 }} </ref> | ||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayokunle Olubaniyi, M.B,B.S
Overview
Percutaneous approach
Traditionally, Lutembacher's syndrome has been treated surgically.[1] Nowadays, it can be treated with percutaneous transcathetar mitral commissurotomy (PTMC) using the Inoue balloon.[2] The Inoue technique has become the procedure of choice around the world with excellent long term results.[3] The ASD was closed with an Amplatzer atrial septal occluder under transthoracic echocardiogram (TTE) guidance without general anesthesia.[2] By combining these two techniques in the same patient at the same cardiac catheterization, percutaneous management of Lutembacher's syndrome can obviate the morbidity and mortality associated with cardiac surgery, the psychological trauma of a thoracotomy scar, the prolonged hospital stay followed by another prolonged period of home convalescence and the possibility of repeat thoracotomy for mitral restenosis.[1]
References
- ↑ 1.0 1.1 Cheng TO (1999). "Coexistent atrial septal defect and mitral stenosis (Lutembacher's syndrome): An ideal combination for percutaneous treatment". Catheter Cardiovasc Interv. 48 (2): 205–6. PMID 10506781.
- ↑ 2.0 2.1 Shabbir M, Ahmed W, Akhtar K (2008). "Transcatheter treatment of Lutembacher's syndrome". J Coll Physicians Surg Pak. 18 (2): 105–6. doi:02.2008/JCPSP.105106 Check
|doi=value (help). PMID 18454897. - ↑ Chen CR, Cheng TO (1995). "Percutaneous balloon mitral valvuloplasty by the Inoue technique: a multicenter study of 4832 patients in China". Am Heart J. 129 (6): 1197–203. PMID 7754954.