Abstract
A 60-year-old female was referred to our clinic for evaluation of her
rapidly progressive dyspnea, she had no previuos history of heart
disease. A murmur was noted on her examination and transthoracic
echocardiography was so difficult to be performed due to poor acoustic
windows so she was referred to do a transesophageal echocardiography
that showed an ostium primum atrial septal defect (ASD) with left to
right shunt and a quadrileaflet mitral valve with severe regurgitation.
Later on, she underwent surgery with Ostium Primum ASD closure by a
patch and double cleft repair by suture after right heart
catheterization.