Lutembacher syndrome presenting as heart failure in an old female from rural Nepal: a case report.

Autor:	Chaudhary D; Koirala Institute of Health Sciences, Dharan., Adhikari P; Koirala Institute of Health Sciences, Dharan., Mehta B; Koirala Institute of Health Sciences, Dharan., Yadav PS; Koirala Institute of Health Sciences, Dharan., Koirala S; National Academy of Medical Sciences., Shah SK; Koirala Institute of Health Sciences, Dharan., Khadka M; Nepal Medical College, Kathmandu, Nepal.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2024 Feb 28; Vol. 86 (8), pp. 4745-4749. Date of Electronic Publication: 2024 Feb 28 (Print Publication: 2024).
DOI:	10.1097/MS9.0000000000001873
Abstrakt:	Introduction and Significance: Lutembacher syndrome (LS), combining atrial septal defect (ASD) and mitral stenosis (MS), is rare, particularly in rural areas. This case presents a 55-year-old Nepalese woman with LS symptoms; however, financial constraints hindered surgical treatment, highlighting LS challenges and the need for early intervention in resource-limited settings. Case Presentation: A 55-year-old woman from rural Nepal presented with 30-day leg swelling and shortness of breath. Apart from autosomal dominant polycystic kidney disease (ADPKD) and smoking, she had no significant comorbidities. Clinical examination revealed severe mitral stenosis and an ASD, but financial limitations prevented surgery. Clinical Discussion: LS is rarer in regions with low rheumatic heart disease (RHD) prevalence like Nepal. This case, despite rarity, delayed presentation, and financial barriers, emphasizes early intervention's importance. While rheumatic fever wasn't confirmed, clinical and echocardiographic findings suggest rheumatic mitral stenosis. The patient's surgery reluctance due to finances highlights resource limitations' impact. Conclusion: This Nepalese LS case highlights its complexity and management challenges, especially in resource-limited settings. It stresses early intervention's importance and the impact of financial constraints on patient care. The study urges improved healthcare access and alternative funding in high RHD-prevalence regions. Competing Interests: The author declared no relevant financial conflict or any other conflict of interest. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu