1965 report of idiopathic hypertrophic subaortic stenosis with ostium secundum atrial septal defect.

In an article entitled "Idiopathic Hypertrophic Subaortic Stenosis with Ostium Secundum Atrial Septal Defect: Successful Surgical Correction" (Chest 68:246-248, 1975), Smith and associates reported the surgical correction of coincident id ie pathic hypertrophic subaortic stenosis with ostium secundum atrial septal defect. These investigators stated that in 1971 their patient was reported by Forker and Morgan1 as the "first" patient with coincident idiopathic hypertrophic subaortic stenosis and ostium secundum atrial septal defect; however, it would appear that the first case may have been reported prior to that in the American lournu1 of Cardiology in 1965.2 Although we are fully aware that, in fact, our case might not have been the first, a thorough review of the literature at that time suggested that it was. Surgical repair was attempted in that four-year-old patient, with initial correction being directed towards relief of the outflow obstruction; however, the patient died in surgery. That surgical correction of both lesions is possible is clearly shown by the report of Smith and associates.