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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