Mitigating the Double-Edged Sword: Percutaneous Intervention for Lutembacher’s Syndrome

Lutembacher’s syndrome (LS) is a very rare condition and is characterized by a congenital ostium secundum type atrial septal defect (OS-ASD) and an acquired mitral stenosis (MS) which is commonly rheumatic in origin, most common in females. Here we report a case of a 35-year-old male with Lutembacher's syndrome who underwent balloon mitral valvuloplasty (BMV) and device closure of the atrial septal defect (ASD). Previously the treatment preferred for patients with LS was surgical but in today’s era, transcatheter intervention should be preferred in suitable patients. Because of the large ASD, BMV necessitated technical modification of taking the Accura balloon over the wire (OTW) into the left ventricle (LV), and also larger ASD device had to be used to prevent device embolization.