Author/Authors :
Ghiasi، Mohammad نويسنده Department of Health Management & Cure Services, Islamic Azad University of Tehran, Science and Research Branch, Tehran, Iran Ghiasi, Mohammad , Jalali Zand، Alireza نويسنده Department of Plant protection, Khorasgan (Isfahan) Branch , Islamic Azad University, Isfahan , Iran , , Taghipour، Hamidreza نويسنده Trauma Research Center, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, IR Iran , , Khaleghparast، Shiva نويسنده Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran , , Mohamadpour، Hamid نويسنده Department of Radiology, Shahid Beheshti University of Medical Science , , Ghadrdoost، Behshid نويسنده Laboratory of Learning and Memory, Research Center and Department of Physiology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran. ,
Abstract :
A 49-year-old man with Lutembacherʹs syndrome associated with frontal meningioma referred to our hospital. He also suffered from exertional dyspnea. Transthoracic echocardiography demonstrated mitral valve area of 1.48 cm2, moderate mitral stenosis, and left atrial dimension (LAD) of 5.6 cm with no clot. TEE revealed severe mitral stenosis, mitral valve area of 1.05 cm2 with wilkins 8-10 score, ejection fraction of 50%, and enlarged left atrium (LAD = 5.8 cm) with no clot. Induction of anesthesia was commenced taking into account the patient’s specific circumstances, which meant the risk of surgery was high. During surgery, the mitral valve was replaced and the atrial septal defect was repaired without a patch. This case underscores the significance of the adoption of an appropriate therapeutic strategy in the treatment of Lutembacherʹs syndrome with meningioma before meningioma surgery.
