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Lutembacher's syndrome complicated by jaundice
1Department of Laboratory Medicine, Gunma University School of Medicine, Japan.
Journal of Medicine
|January 1, 1996
Summary
This case report details the first known instance of jaundice caused by Lutembacher's syndrome in a 78-year-old female. Congenital heart disease can present as jaundice, necessitating clinical awareness.
Area of Science:
- Cardiology
- Hepatology
- Medical Case Reports
Background:
- Lutembacher's syndrome, a rare congenital heart defect involving an atrial septal defect and mitral stenosis, can have varied clinical presentations.
- Jaundice is typically associated with liver or biliary tract pathology, but cardiac conditions can also lead to hepatic dysfunction.
Observation:
- A 78-year-old female presented with jaundice.
- Ultrasonography revealed liver congestion, dilated inferior vena cava, and hepatic veins.
- Two-dimensional echocardiography identified a large atrial septal defect with a mitral valve area of 1.6 cm2.
Findings:
- The patient's jaundice was attributed to Lutembacher's syndrome.
- The cardiac anomaly led to secondary hepatic congestion and subsequent jaundice.
- This represents the first reported case of jaundice induced by Lutembacher's syndrome.
Implications:
- Congenital heart disease should be considered in the differential diagnosis of unexplained jaundice, particularly in older adults.
- This case highlights the importance of a comprehensive diagnostic approach, integrating cardiac and hepatic evaluations.
- Awareness of rare cardiac etiologies for jaundice can improve diagnostic accuracy and patient outcomes.