A case of an elderly female patient presenting a hemodynamic pattern similar to that of Lutembacher’s syndrome due to mitral stenosis and the stretched patent foramen ovale

Abstract

We report our experience with a 78-year-old woman who presented with hemodynamics like those of Lutembacher’s syndrome. The patient had an atrial septal aneurysm and an interatrial right-to-left shunt caused by marked enlargement of the left atrium and the foramen ovale resulting from serious mitral stenosis. Although percutaneous transvenous mitral commissurotomy was carried out, subsequent increase in cardiac output was insufficient and chronic heart failure became evident. This suggests the appropriateness of early surgery when the right-to-left shunt appears in cases like this one.