Lutembacher Syndrome Follow-up

Updated: Mar 26, 2014
  • Author: Kamran Riaz, MD; Chief Editor: Park W Willis IV, MD  more...
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Follow-up

Further Outpatient Care

See the list below:

  • SBE prophylaxis

  • Surveillance for worsening signs or symptoms of heart failure

  • Periodic echocardiograms to assess the severity of mitral stenosis and the magnitude of left-to-right shunt and pulmonary artery pressure

  • Periodic assessment of the following:

    • BUN levels

    • Creatinine levels

    • Serum electrolyte levels in patients taking diuretics

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Further Inpatient Care

See the list below:

  • Daily intake and output measurements

  • Daily weight measurement

  • Observation for worsening signs and symptoms of right-sided heart failure

  • Evaluation and treatment of any arrhythmias

  • Evaluation for any fever or new murmurs

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Inpatient & Outpatient Medications

See the list below:

  • Diuretics

  • Digoxin

  • Beta-blockers, in selected cases

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Transfer

Patients should be transferred to either a surgical team or an interventional cardiologist for definitive treatment.

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Complications

See the list below:

  • Right-sided heart failure

  • Atrial arrhythmias

  • Pulmonary congestion

  • SBE

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Prognosis

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  • Prognosis is generally good for this condition. Patients have lived into their ninth decade without developing any cardiac symptoms. Women have had multiple pregnancies without complications.

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Patient Education

See the list below:

  • Educate patients regarding the basic anatomical defects and physiological consequences of the disease.

  • Heart failure education should include the following:

    • Low-salt diet

    • Daily weighing

    • Early warning signs of worsening right or left heart failure

  • Bacterial endocarditis prophylaxis

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