A Rare Case of Lutembacher’s Syndrome

Abstract

Lutembacher’s syndrome, a rare cardiac condition characterised by the combination of congenital Atrial Septal Defect (ASD) and acquired mitral stenosis, presents significant clinical challenges. Hereby, the authors present a case report of a 28-year-old female exhibiting mild symptoms, including dysapnoea, intermittent palpitations, and lower limb swelling. Examination revealed characteristic findings, including elevated jugular venous pressure, cardiomegaly, and murmurs indicative of mitral stenosis and tricuspid regurgitation. Transthoracic echocardiography confirmed the presence of ASD and moderate mitral stenosis. The patient was ultimately diagnosed with Lutembacher’s syndrome. Prompt initiation of rheumatic heart disease prophylaxis and diuretics led to symptomatic improvement. The present case underscores the need for early recognition and intervention in Lutembacher’s syndrome, particularly in regions with high rates of rheumatic heart disease. Future research should focus on optimising treatment strategies to enhance patient outcomes. Sharing such cases contributes to a deeper understanding of this complex condition and advocates for improved management approaches.