Abstract
A 25 year old man with multiple congenital cardiac defects, pulmonary hypertension, pulmonary reguritation had a loud mid-diastolic rumbling murmur with presystolic accentuation, heard best at the lower left sternal border and cardiac apex. Intracardiac and external phonocardiograms, echocardiograms and postmortem findings documented that the rumble represented a “right-sided Austin Flint” murmur.
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