PDF(Pubmed)
Abstract：
UNASSIGNED: Lutembacher syndrome (LS), combining atrial septal defect (ASD) and mitral stenosis (MS), is rare, particularly in rural areas. This case presents a 55-year-old Nepalese woman with LS symptoms; however, financial constraints hindered surgical treatment, highlighting LS challenges and the need for early intervention in resource-limited settings.
UNASSIGNED: A 55-year-old woman from rural Nepal presented with 30-day leg swelling and shortness of breath. Apart from autosomal dominant polycystic kidney disease (ADPKD) and smoking, she had no significant comorbidities. Clinical examination revealed severe mitral stenosis and an ASD, but financial limitations prevented surgery.
UNASSIGNED: LS is rarer in regions with low rheumatic heart disease (RHD) prevalence like Nepal. This case, despite rarity, delayed presentation, and financial barriers, emphasizes early intervention\'s importance. While rheumatic fever wasn\'t confirmed, clinical and echocardiographic findings suggest rheumatic mitral stenosis. The patient\'s surgery reluctance due to finances highlights resource limitations\' impact.
UNASSIGNED: This Nepalese LS case highlights its complexity and management challenges, especially in resource-limited settings. It stresses early intervention\'s importance and the impact of financial constraints on patient care. The study urges improved healthcare access and alternative funding in high RHD-prevalence regions.
UNASSIGNED: A 55-year-old woman from rural Nepal presented with 30-day leg swelling and shortness of breath. Apart from autosomal dominant polycystic kidney disease (ADPKD) and smoking, she had no significant comorbidities. Clinical examination revealed severe mitral stenosis and an ASD, but financial limitations prevented surgery.
UNASSIGNED: LS is rarer in regions with low rheumatic heart disease (RHD) prevalence like Nepal. This case, despite rarity, delayed presentation, and financial barriers, emphasizes early intervention\'s importance. While rheumatic fever wasn\'t confirmed, clinical and echocardiographic findings suggest rheumatic mitral stenosis. The patient\'s surgery reluctance due to finances highlights resource limitations\' impact.
UNASSIGNED: This Nepalese LS case highlights its complexity and management challenges, especially in resource-limited settings. It stresses early intervention\'s importance and the impact of financial constraints on patient care. The study urges improved healthcare access and alternative funding in high RHD-prevalence regions.
摘要：
■Lutembacher综合征（LS），合并房间隔缺损（ASD）和二尖瓣狭窄（MS），是罕见的，特别是在农村地区。该病例为一名55岁的尼泊尔妇女，有LS症状；然而，财政限制阻碍了手术治疗，强调LS面临的挑战以及在资源有限的环境中早期干预的必要性。
■一名来自尼泊尔农村的55岁妇女出现30天的腿部肿胀和呼吸急促。除了常染色体显性遗传性多囊肾病（ADPKD）和吸烟，她没有明显的合并症。临床检查显示严重的二尖瓣狭窄和ASD,但是经济限制阻止了手术。
■在像尼泊尔这样的风湿性心脏病（RHD）患病率较低的地区，LS更为罕见。这个案子,尽管稀有,延迟介绍,和金融障碍，强调早期干预的重要性。虽然风湿热没有得到证实，临床和超声心动图检查结果提示风湿性二尖瓣狭窄。由于财务原因，患者不愿进行手术，这凸显了资源限制的影响。
■这个尼泊尔LS案例凸显了其复杂性和管理挑战，尤其是在资源有限的环境中。它强调早期干预的重要性和财政限制对患者护理的影响。该研究敦促在高RHD患病率地区改善医疗保健和替代资金。
■一名来自尼泊尔农村的55岁妇女出现30天的腿部肿胀和呼吸急促。除了常染色体显性遗传性多囊肾病（ADPKD）和吸烟，她没有明显的合并症。临床检查显示严重的二尖瓣狭窄和ASD,但是经济限制阻止了手术。
■在像尼泊尔这样的风湿性心脏病（RHD）患病率较低的地区，LS更为罕见。这个案子,尽管稀有,延迟介绍,和金融障碍，强调早期干预的重要性。虽然风湿热没有得到证实，临床和超声心动图检查结果提示风湿性二尖瓣狭窄。由于财务原因，患者不愿进行手术，这凸显了资源限制的影响。
■这个尼泊尔LS案例凸显了其复杂性和管理挑战，尤其是在资源有限的环境中。它强调早期干预的重要性和财政限制对患者护理的影响。该研究敦促在高RHD患病率地区改善医疗保健和替代资金。
