system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
ASD patient with murmur similar to MR and left axis deviation of 40 degrees is having?
assistant
The correct answer is  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 (MJR) 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 deviation in ostium secundum ASD and extreme left axis deviation 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 deviation”