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Journal of Medical Ultrasonics

にて英文誌のFull textを閲覧することができます.


2011 - Vol.38

Vol.38 No.04

Case Report(症例報告)

(0465 - 0472)


A case of an elderly female patient presenting a hemodynamic pattern similar to that of Lutembacher’s syndrome due to mitral stenosis and the stretched patent foramen ovale

大沼 芳子1, 水島 浩行1, 石瀬 久也2, 神保 正樹2

Yoshiko ONUMA1, Hiroyuki MIZUSHIMA1, Hisanari ISHISE2, Masaki JINBO2

1姫川病院中央検査部, 2姫川病院内科

1Department of Central Clinical Laboratory, Himekawa Hospital, 2Department of Internal Medicine, Himekawa Hospital

キーワード : percutaneous transvenous mitral commissurotomy, echocardiography, Lutembacher’s syndrome, atrial septal aneurysm, stretched foramen ovale


We report our experience with a 78-year-old woman who presented with hemodynamics like those of Lutembacher’s syndrome. The patient had an atrial septal aneurysm and an interatrial right-to-left shunt caused by marked enlargement of the left atrium and the foramen ovale resulting from serious mitral stenosis. Although percutaneous transvenous mitral commissurotomy was carried out, subsequent increase in cardiac output was insufficient and chronic heart failure became evident. This suggests the appropriateness of early surgery when the right-to-left shunt appears in cases like this one.