Abstract

Iatrogenic Lutembacher's syndrome is a rare combination of acquired Atrial Septal Defect (ASD) after percutaneous mitral commissurotomy (PMC), and Mitral stenosis (MS) (usually of rheumatic nature). Here we discuss the case of a 46 years old male with MS who had undergone successful PMC seven years ago, who complained from gradually progressive exertional dyspnea, fatigue and palpitations. On detailed examination and investigation, he was found to be having Lutembacher's syndrome confirmed by echocardiography. After concertation with the heart team, the patient was managed by valvular surgery. Keeping in mind this syndrome rare occurrence, we are presenting an overview of this syndrome, through a literature review, including its various aspects and the challenges faced by the patients and the physicians in the context of developped countries.