This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
Lutembacker syndrome - include A/E ? 
Select and explain. 
A. Mitral stenosis, B. ASD, C. VSD, D. Left to right shunt
C: VSD
Answer: C: VSD 
Explanation: Ans. is 'c' i.e., VSD Lutembacher syndrome is defined as a combination of mitral stenosis and a left-to-right shunt at the atrial level. Typically, the left-to-right shunt is an atrial septal defect (ASD) of the ostium secundum variety. Both these defects, ASD and mitral stenosis, can be either congenital or acquired