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Lutembacher syndrome: Dilemma of doing a tricuspid annuloplasty
A V Varsha1, Gladdy George2, Raj Sahajanandan2
1Department of Cardiothoracic Surgery, Christian Medical College, Vellore, Tamil Nadu, India.
Abstract:
We discuss the case of a 24-year-old woman with Lutembacher syndrome and severe tricuspid regurgitation (TR) who underwent surgical closure of atrial septal defect and mitral valve replacement without tricuspid annuloplasty despite a severe TR and a large tricuspid annulus on preoperative echo. The pathophysiology of Lutembacher syndrome is discussed below. The utility of perioperative echocardiography in assessing the annular diameter, tenting area and coaptation depth and thus providing insights into the functioning of the tricuspid valve will also be emphasized.
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