ASD patient with murmur similar to MR and left axis detion of 40 degrees is having?
Correct Answer: Flappy mitral valve
Description: Floppy mitral valve REF: Pediatrics: A Concise Text - SK Kabra, RN Srivastava Page 135 Repeat in December 2009, December 2011 The murmur is the clinching point here as the patient is having ostium primum type of ASD with MR and Ostium primum defect alone cannot produce such murmur and in question it is already mentioned that the patient is having ASD, Floppy mitral valve should be the answer. "Presence of pansystolic murmur of mitral regurgitation (MR) in a patient with ASD suggests the presence of ostium primum defect with cleft mitral laeflet or floppy mitral valve with mitral valve prolapsed" "ECG shows right axis detion in ostium secundum ASD and extreme left axis detion in ostium primum ASD" "Clinical presentation of ostium primum is similar to ostium secundum except that there may be a mitral systolic murmur due to MR and ECG shows left axis detion"
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