Lutembacher syndrome
characterised by both mitral stenosis and atrial septal defect (ASD).
Both conditions may be congenital and occur concurrently, or the mitral stenosis may occur as
a result of rheumatic fever or some other cause.
Incidence is higher in women due to the greater incidence of congenital ASD.
Cardiac signs are mixed due to the two concurrent lesions.
Presentation is typically in later life, with fatigue or atrial fibrillation.
mid-diastolic tricuspid murmur fits with increased tricuspid valve flow, consistent with a
shunt because of an ASD
Ideally, surgery should be performed as early as possible due to the risks of Eisenmenger
syndrome in untreated patients.