title: Successful percutaneous management of Lutembacher syndrome.
abstract: BACKGROUND
  The surgical management of Lutembacher syndrome is straight forward but percutaneous management, though technically demanding, is always desirable.
  
  
  METHODS
  A 17 year old unmarried female presented with severe Mitral stenosis and a 19 mm almost circular Ostium secundum ASD with moderate pulmonary artery hypertension and dilated right sided chambers. She was managed in a staged manner. Percutaneous trans mitral commissurotomy (PTMC) was done first, using a 26 mm Inoue balloon catheter set, and after 48 h, ASD was closed with a 20 mm Cocoon Septal Occluder.
  
  
  RESULTS
  The mitral valve area increased after PTMC from 0.8 cm2 to 2.1 cm2 and QP/QS decreased from 4.9 to 2. ASD was successfully closed under echocardiographic and fluoroscopic guidance.
  
  
  CONCLUSIONS
  Percutaneous management of the Lutembacher syndrome (PTMC and ASD device closure) is an effective and low risk procedure and avoids considerable morbidity and mental trauma for the patients.
authors: Senior Resident, Department of Cardiology, Dr RML Hospital and PGIMER, New Delhi, India. Electronic address: dr_sandeepgoel@yahoo.com.
authors: Sandeep
authors: S
authors: Goel
authors: Associate Professor, Department of Cardiology, Dr RML Hospital and PGIMER, New Delhi, India. Electronic address: ranjitknath@yahoo.com.
authors: Ranjit
authors: R
authors: Nath
authors: Assistant Professor, Department of Cardiology, Dr RML Hospital and PGIMER, New Delhi, India. Electronic address: drajayabss@gmail.com.
authors: Ajay
authors: A
authors: Sharma
authors: Professor, Department of Cardiology, Dr RML Hospital and PGIMER, New Delhi, India. Electronic address: neerajpandit@gmail.com.
authors: Neeraj
authors: N
authors: Pandit
authors: Professor, Department of Cardiology, Dr RML Hospital and PGIMER, New Delhi, India. Electronic address: hwardhan@hotmail.com.
authors: Harsh
authors: H
authors: Wardhan
mesh_terms: D000293:Adolescent; D006328:Cardiac Catheterization / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D004452:Echocardiography; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008185:Lutembacher Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D055989:Septal Occluder Device; D025321:Surgery, Computer-Assisted
keywords: Lutembacher syndrome; Mitral stenosis; Ostium secundum; PTMC