Lutembacher's syndrome

Lutembacher's syndrome comprises of atrial septal defect and acquired mitral stenosis. The two tend to influence each other's hemodynamics and hence clinical findings. This impact may extend to the over all management of the syndrome

Atrial septal defect-II in the middle and old age

Ostium secondum atrial septal defect is the commonest of interatrial defects. However, interestingly, this hemodynamic disturbance is compatible with survival beyond middle age and the prognosis is related to duration and magnitude of shunting, relative compliance of ventricles etc. ASD-II usually goes unrecognized because of minor symptoms and subtle signs mistaken for physiological variations. New diagnostic techniques have enabled physicians to diagnose and treat such cases promptly. Two case are reported here which were diagnosed as ASD-II in advanced ages