{"id":10179,"date":"2012-04-22T09:32:27","date_gmt":"2012-04-22T09:32:27","guid":{"rendered":"http:\/\/cardiophile.org\/?p=6982"},"modified":"2022-03-20T14:30:13","modified_gmt":"2022-03-20T09:00:13","slug":"reverse-lutembacher-syndrome","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/reverse-lutembacher-syndrome\/","title":{"rendered":"Reverse Lutembacher syndrome"},"content":{"rendered":"<p><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/-YwO8rFq4dY\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Reverse Lutembacher syndrome<\/span><\/h2>\n<p><strong>Reverse Lutembacher syndrome is the term used to describe right to left interatrial shunt in the presence of severe tricuspid stenosis.<\/strong> Burke MA and Mikati IA documented the combination of the lesions in a patient who presented with features of platypnea orthodeoxia syndrome [1]. This forty three year old lady had bioprosthetic tricuspid valve stenosis. Right to left shunt occurred across a patent foramen ovale (PFO). She also suffered from stroke due to paradoxical embolism across the PFO. Successful surgical treatment with replacement of the stenotic bioprosthetic valve with a new one and closure of the patent foramen ovale was achieved.<\/p>\n<figure id=\"attachment_53351\" aria-describedby=\"caption-attachment-53351\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-53351\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2012\/04\/Reverse-Lutembacher-syndrome.jpg\" alt=\"Reverse Lutembacher syndrome\" width=\"1200\" height=\"1008\" srcset=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2012\/04\/Reverse-Lutembacher-syndrome.jpg 1200w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2012\/04\/Reverse-Lutembacher-syndrome-300x252.jpg 300w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2012\/04\/Reverse-Lutembacher-syndrome-1024x860.jpg 1024w, https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2012\/04\/Reverse-Lutembacher-syndrome-768x645.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-53351\" class=\"wp-caption-text\">Reverse Lutembacher syndrome<\/figcaption><\/figure>\n<p>In another report Essop MR and associates [2] described a patient who had undergone balloon dilatation of rheumatic mitral and aortic stenosis and later developed cyanosis and clubbing due to right to left shunt across the septal puncture defect. This was due to the development of severe tricuspid stenosis which occurred over a four year period. This case was dealt with by balloon dilatation of the stenosed tricuspid valve which lead to re establishment of left to right shunt across the atrial septal defect. Thus reverse Lutembacher syndrome was converted back to Lutembacher syndrome!<\/p>\n<p><span style=\"color: #0000ff;\"><strong>References<\/strong><\/span><\/p>\n<ol>\n<li>Burke MA and Mikati IA. Platypnea-Orthodeoxia Syndrome Associated with Bioprosthetic Tricuspid Valve Stenosis and Reverse Lutembacher Syndrome. Circulation. 2011; 123: e222-e224.<\/li>\n<li>M R Essop, A R Essop, S Bedhesi, P E Sareli. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7789387\/\">Cyanosis and clubbing in a patient with iatrogenic Lutembacher syndrome<\/a>. Eur Heart J. 1995;16:421-3.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Reverse Lutembacher syndrome is the term used to describe right to left interatrial shunt in the presence of severe tricuspid stenosis.<\/p>\n","protected":false},"author":1,"featured_media":53351,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18,22,27],"tags":[],"class_list":["post-10179","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions","category-cardiac-surgery","category-structural-heart-disease-interventions"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Reverse Lutembacher syndrome - ASD with TS and R-L shunt<\/title>\n<meta name=\"description\" content=\"Reverse Lutembacher syndrome is the term used to describe right to left interatrial shunt in the presence of severe tricuspid stenosis.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/reverse-lutembacher-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reverse Lutembacher syndrome - 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