scholarly journals A Forty Year Old Lady with Undiagnosed Lutembacher Syndrome - A Case Report

1970 ◽  
Vol 6 (1) ◽  
pp. 51-54
Author(s):  
Muhammad Ashiqur Rahman ◽  
AKM Fazlur Rahman ◽  
Tauhidul Haque ◽  
Sajal K Banarjee ◽  
Md Harisul Hoque ◽  
...  
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Mitral Valve ◽  
Atrial Septal Defect ◽  
Transthoracic Echocardiography ◽  
Mitral Stenosis ◽  
Septal Defect ◽  
Shortness Of Breath ◽  
Bundle Branch Block ◽  
Mild Degree

A forty years widow having four children presented with palpitation, shortness of breath on exertion and chest pain. Her sufferings progressively increase in course of time. Her ECG shows complete Right Bundle Branch Block. Transthoracic echocardiography showed atrial septal defect of secundum type. Both the leaflets of the mitral valve were thickened with mild degree of diastolic doming. Key Words: Lutembacher Syndrome; Mitral Stenosis. DOI: 10.3329/uhj.v6i1.7198University Heart Journal Vol.6(1) 2010 pp.51-54

scholarly journals Spinal Anesthesia in Patient with Congestive Heart Failure due to Congenital Atrial Septal Defect, and Pulmonary Hypertension Undergoing Cesarean Section Procedure: A Case Report

2020 ◽  
Vol 1 (2) ◽  
pp. 95-102
Author(s):  
Anugerah Ade Periambudi ◽  
Rizal Zainal ◽  
Mayang Indah Lestari
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Pulmonary Hypertension ◽  
Heart Disease ◽  
Case Report ◽  
Atrial Septal Defect ◽  
Spinal Anesthesia ◽  
Congenital Heart ◽  
Septal Defect ◽  
Shortness Of Breath

Introduction. In patients suffering from heart disease, pregnancy is a risk factor for mortality. Heart disease in pregnant women can be in form of rheumatic heart disease, cardiomyopathy, or congenital heart disease. This case report is about the successful spinal anesthesia technique in cesarean section (C-section) patients with congestive heart failure due to congenital atrial septal defect, and pulmonary hypertension (PH). Case presentation. A pregnant woman, 24 years old, planned to have an emergency C-section. She complained about shortness of breath for 2 days before admission. Three months ago, the patient started to feel shortness of breath during activity and also complained her legs swelled. She has a history of congenital heart i.e. atrial septal defect (ASD), but not routinely been treated. Her examination showed tachypnea, murmur, bibasilar fine crackles lung sound, and pretibial pitting edema. Echocardiography showed ASD with pulmonary hypertension. Spinal Anesthesia using 0.5% isobaric bupivacaine 7.5 mg and fentanyl 25 µcg was given before surgery. Drugs was injected in L3-L4 level with the upper target was as high as T6. the head position is raised 30 degrees. Procedure went well and the APGAR score was 8/9, Patient was admitted to the ICU for one day and discharged from hospital at the 5 days of hospital care. Conclusion. Spinal single-shot spinal anesthesia with small doses of bupivacaine and adjuvant can be used as an alternative technique in emergency C-section for patients with congestive heart failure due to congenital atrial septal defect, and pulmonary hypertension.

scholarly journals Double orifice mitral valve: A case report

2016 ◽  
Vol 73 (5) ◽  
pp. 496-499
Author(s):  
Ljilja Music ◽  
Bozidarka Knezevic ◽  
Ljiljana Jovovic ◽  
Nebojsa Bulatovic
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Mitral Stenosis ◽  
Fibrous Tissue ◽  
Bundle Branch Block ◽  
Functional Changes ◽  
Mitral Orifice ◽  
Sport Activities ◽  
Double Orifice

Introduction. Double orifice mitrol valve (DOMV) is a very rare congenital heart defect. Case report. We reported 20-year-old male referred to our center due to evaluation of his cardiologic status. He was operated on shortly after birth for a tracheoesophageal fistula. Accidentally, echocardiography examination at the age of 4 years revealed double orifice mitral valve (DOMV) without the presence of mitral regurgitation, as well as mitral stenosis, with normal dimensions of all cardiac chambers. The patient was asymptomatic, even more he was a kick boxer. His physical finding was normal. Electrocardiography showed regular sinus rhythm, incomplete right bundle branch block. Transthoracic echocardiography (TTE) examination revealed the normal size of the left atrial, mitral leaflets were slightly more redundant. The left and right heart chambers, aorta, tricuspid valve and pulmonary artery valve were normal. During TTE examination on a short axis view two asymmetric mitral orifices were seen as a double mitral orifice through which we registered normal flow, without regurgitation and mitral stenosis. Transesophageal echocardiography (TEE) examination from the transgastric view at the level of mitral valve, showed 2 single asymmetric mitral orifices separated by fibrous tissue, mitral leaflet with a separate insertion of hordes for each orifice. Conclusion. The presented patient with DOMV is the only one recognized in our country. The case is interesting because during 16-year a follow-up period there were no functional changes despite the fact that he performed very demanded sport activities. This is very important because there is no information in the literature about that.

scholarly journals Spinal Anesthesia in Patient with Congestive Heart Failure due to Congenital Atrial Septal Defect, and Pulmonary Hypertension Undergoing Cesarean Section Procedure: A Case Report

2021 ◽  
Vol 1 (2) ◽  
pp. 95-102
Author(s):  
Anugerah Ade Periambudi ◽  
Rizal Zainal ◽  
Mayang Indah Lestari
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Pulmonary Hypertension ◽  
Heart Disease ◽  
Case Report ◽  
Atrial Septal Defect ◽  
Spinal Anesthesia ◽  
Congenital Heart ◽  
Septal Defect ◽  
Shortness Of Breath

Introduction. In patients suffering from heart disease, pregnancy is a risk factor for mortality. Heart disease in pregnant women can be in form of rheumatic heart disease, cardiomyopathy, or congenital heart disease. This case report is about the successful spinal anesthesia technique in cesarean section (C-section) patients with congestive heart failure due to congenital atrial septal defect, and pulmonary hypertension (PH). Case presentation. A pregnant woman, 24 years old, planned to have an emergency C-section. She complained about shortness of breath for 2 days before admission. Three months ago, the patient started to feel shortness of breath during activity and also complained her legs swelled. She has a history of congenital heart i.e. atrial septal defect (ASD), but not routinely been treated. Her examination showed tachypnea, murmur, bibasilar fine crackles lung sound, and pretibial pitting edema. Echocardiography showed ASD with pulmonary hypertension. Spinal Anesthesia using 0.5% isobaric bupivacaine 7.5 mg and fentanyl 25 µcg was given before surgery. Drugs was injected in L3-L4 level with the upper target was as high as T6. the head position is raised 30 degrees. Procedure went well and the APGAR score was 8/9, Patient was admitted to the ICU for one day and discharged from hospital at the 5 days of hospital care. Conclusion. Spinal single-shot spinal anesthesia with small doses of bupivacaine and adjuvant can be used as an alternative technique in emergency C-section for patients with congestive heart failure due to congenital atrial septal defect, and pulmonary hypertension.

scholarly journals Rare association between atrial septal defect and unicuspid mitral valve: Case report

2019 ◽  
Vol 4 (4) ◽  
Author(s):  
Nilda Espinola-Zavaleta ◽  
Rodrigo Escalante-Armenta ◽  
Luis Javier Castellanos-Vizcaino ◽  
Erick Alexanderson-Rosas
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Rare Association

Early and late results of balloon dilation for congenital mitral stenosis

1994 ◽  
Vol 4 (2) ◽  
pp. 122-125 ◽  
Author(s):  
Luis E. Alday ◽  
Ernesto Juaneda ◽  
Ana Spillmann ◽  
Esteban Ruiz
Keyword(s):  
Mitral Valve ◽  
Atrial Septal Defect ◽  
Mitral Stenosis ◽  
Septal Defect ◽  
Balloon Dilation ◽  
Late Results ◽  
The Other ◽  
Cross Sectional ◽  
Congenital Mitral Stenosis

AbstractBalloon dilation was attempted in seven symptomatic patients with congenital mitral stenosis aged 7.6±5.3 years. Of the five patients with typical mitral stenosis, four underwent successful dilation with decrease of the mean left atrial pressure and the gradient across the mitral valve and increases in the area of the valve of 127±43 and 85±16%, respectively, as demonstrated hemodynamically or by Doppler echocardiography. In the patient in whom the procedure was unsuccessful, a small child with recurrent pulmonary edema, death occurred during the procedure as a consequence of vasovagal reaction. In the other two patients, one with a parachute-like mitral valve and the other with Shone's syndrome, severe pulmonary hypertension and reversal of the shunt through a patent arterial duct, it was not possible to dilate the valve. In the patient with Shone's syndrome, nonetheless, palliation was achieved by balloon angioplasty of the aortic coarctation and by creation of an atrial septal defect. The patients undergoing dilation remained symptom-free during follow-up and mantained the increase in valvar area as judged by Doppler studies and, in one patient, also by cardiac catheterization. A residual atrial septal defect closed spontaneously in three patients. We conclude that balloon dilation of congenital mitral stenosis is an effective alternative to surgery in patients with typical mitral stenosis. Cross-sectional echocardiography plays an important role in defining valvar morphology and selection of patients. The procedure is not without risk, especially in very sick patients but satisfactory results are long-lasting.

Chylopericardium following Atrial Septal Defect Repair: Case Report

2005 ◽  
Vol 8 (1) ◽  
pp. 23 ◽  
Author(s):  
Sanjay Kumar ◽  
Bharati Sinha
Keyword(s):  
Case Report ◽  
Atrial Septal Defect ◽  
Cardiac Tamponade ◽  
Unusual Case ◽  
Septal Defect ◽  
Clinical Course ◽  
Defect Repair ◽  
Cardiac Operations

Chylopericardium after intrapericardial cardiac operations is extremely rare. We present an unusual case of postoperative chylopericardium with cardiac tamponade following atrial septal defect repair, and we comment on the clinical course and treatment.

Management of Platelets in a Persian Girl with the Tetralogy_Pantalogy of Fallot (Tof_Pof): A Case Report Study

2020 ◽  
Author(s):  
Bahram Alamdary Badlou
Keyword(s):  
Case Report ◽  
Ventricular Septal Defect ◽  
Atrial Septal Defect ◽  
Sleep Disorders ◽  
Social Life ◽  
Rare Case ◽  
Septal Defect ◽  
Old Persian ◽  
Underlying Mechanisms ◽  
The Relationship

We report a rare case of unrepaired Tetralogy_Pantalogy of Fallot (TOF_POF) in a 20 years old Persian girl Mrs Zeynab S., who presented with cyanotic finger tops appearance, ongoing chronic thrombolytic destruction processes, and remarkable thrombocytopenia [1,2], heart ventricular septal defect (VSD), and might atrial septal defect (ASD), anxiety, sleep disorders, nightmares, and limited social life. Additionally, the relationship between underlying mechanisms, possible treatments of the thrombocytopenia, erythrocytosis, and unrepaired cardiovascular leakages remains unknown.

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