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European Heart Journal 1995 16(3):421-423;
Copyright © 1995 by the European Society of Cardiology.
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© 1995 The European Society of Cardiology

Cyanosis and clubbing in a patient with iatrogenic Lutembacher syndrome

M. R. ESSOP, A. R. ESSOP, S. BEDHESI and P. E. SARELI

Division of Cardiology, Baragwanath Hospital and University of the Witwatersrand Johannesburg, South Africa

accepted 30 May 1994.

Correspondence M Rafique Essop, Division of Cardiology, Baragwanath Hospital, PO Bertsham 2013, Johannesburg, South Africa.

Abstract

A patient with rheumatic mitral and aortic stenosis is described in whom balloon dilatation of the mitral valve was complicated by an iatrogenic atrial septal defect with a small left to right shunt. Over the course of 4 years, the patient became progressively cyanosed and clubbed and was found to have reversed the shunt across the atrial septal defect due to the occurrence of severe tricuspid stenosis. The tricuspid valve was successfully dilated with re-establishment of a net left to right shunt. This syndrome, the first of its kind, should be appropriately termed the reversed Lutembacher syndrome.

Key Words: Lutembacher syndrome • tricuspid stenosis


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