Dextrocardia: an analysis of cardiac structures in 125 patients

Garg, Naveen; Agarwal, Beamon; Modi, Nitin; Radhakrishnan, S.; Sinha, Nakul

doi:10.1016/s0167-5273(02)00539-9

Cited by 107 publications

(127 citation statements)

References 19 publications

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“…Situs solitus dextrocardia is known to be more associated with CHD than situs inversus. In one study, situs solitus was associated with CHD in 93% of the cases, with left to right shunts being the most common (40.9%) followed by conotruncal defects (36.4%) [3]. The reported incidence of CHD associated with situs inversus dextrocardia ranges from 23-71.4% [3,6].…”

Section: Discussionmentioning

confidence: 99%

“…L-transposition was reported in 66.7% of the cases. Those patients are usually asymptomatic as long as there are no other associated heart defects [3]. This may explain why these cases may be under-reported in the general population [3,7].…”

Section: Discussionmentioning

confidence: 99%

“…In dextrocardia, the axis points to the right instead of the left [1][2][3][4]. This differs from dextro position where the heart is positioned in the right side of the chest secondary to a pathologic process, but retains the normal axis [4].…”

Section: Introductionmentioning

confidence: 99%

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Dextrocardia with Situs Inversus, Atrio-ventricular and Ventriculararterial Concordance and a Left Posterior Aorta in a Preterm Twin Neonate

2015

J Paediatr Child Care

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In dextrocardia, the main base-apex cardiac axis is directed to the right side of the chest. The majority of dextrocardia is associated with situs solitus and either normally related or L-transposed great vessels. Dextrocardia with situs inversus is rare and presents in different forms depending on the atrio-ventricular (AV) and ventricular-aterial (VA) relationship. We report a rare case of dextrocardia with situs inversus, AV and VA concordance, a left posterior aorta and a right aortic arch in a preterm twin male infant. IntroductionThe main cardiac axis (base to apex) determines the orientation of the heart in the chest. In dextrocardia, the axis points to the right instead of the left [1][2][3][4]. This differs from dextro position where the heart is positioned in the right side of the chest secondary to a pathologic process, but retains the normal axis [4]. Dextrocardia may occur as an isolated defect or may be associated with cardiac, vascular and/or visceral abnormalities. The relationship between the atria and viscera may present in one of three possible forms: situs solitus, situs inversus, or situs ambiguous. Situs solitus is the usual anatomy with the right atrium and the liver on right, and the stomach on the left. Situs inversus describes reversal of the viscera with the right atrium and the liver on the left and the stomach and the spleen on the right. Situs ambiguous, also called heterotaxy, describes an indeterminate situs and is usually associated with either asplenia or polysplenia. The ventricles may be concordant or discordant with their corresponding atria. The great arteries may be normally related, inversely related (mirror image), or transposed [5]. Case ReportA 32-week twin a male infant, weighing 1810 grams, was born to a 32 year-old G5P1 mother. This was a di-di twin pregnancy with IUGR in twin B. The pregnancy was complicated by in-vitro fertilization, gestational diabetes, hypothyroidism "on levothyroxine", preeclampsia "on magnesium sulfate", and preterm labor. The mother underwent C-section due to worsening pre-eclampsia. Both twins were given basic neonatal care. APGARs cores were 8 and 9 at 1 and 5 minutes, respectively. They had stable vital signs with oxygen saturation of 97% on room air. While twin B had a normal examination, twin A was incidentally noted to have heart sounds on the right side of the chest. No murmurs were appreciated. A chest X-ray (Figure 1) revealed dextrocardia with situs inversus, which was further confirmed by an abdominal ultrasound.An echocardiogram showed a mirror image dextrocardia with inversion of both atria and ventricles (Figure 2). The great arteries were also inverted with the pulmonary artery connected to a morphologic right ventricle on the left (Figure 3), and the aorta connected to a morphologic left ventricle on the right (Figure 4). There was a rightsided aortic arch as shown by the direction of the arch and its first bifurcating branch (Figure 4). The aortic valve was noted to be on the left and slightly posterior to the pulmona...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Dextrocardia with Situs Inversus, Atrio-ventricular and Ventriculararterial Concordance and a Left Posterior Aorta in a Preterm Twin Neonate

2015

J Paediatr Child Care

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“…In 20% cases, kartagener syndrome is seen; however, only 50% of patients with kartagener syndrome have situs inversus 2,13 . Here, It is better to mention that in dextrocardia, the arrangements of the position of the abdominal viscera may be normal (situs solitus), reversed (situs inversus) and indeterminate (situs ambiguous) in 34.4%, 39.2% and 26.4% cases respectively 14 .…”

Section: Fig-i: Electrocardiography Of a Patient With Dextrocardia Wmentioning

confidence: 98%

Situs Inversus Totalis: A Rare Congenital Anomaly and the Presence of COPD Giving a Concept of Dextroposition with Limb Lead Reversal in ECG

Sabah

Chowdhury

Islam³

et al. 2017

Bangladesh Heart J

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Abstract:Situs inversus totalis is the mirror-image of normal position of the thoracic and abdominal viscera. It may be detected incidentally when the patient seek medical attention for other medical illness. From medico-legal points of view, this rare disorder is important in many ways for a junior physician to prevent a big mishap, especially surgical. Here, we report a case, who was 55-year-old, seeking medical attention for infective exacerbation of chronic obstructive pulmonary disease incidentally diagnosed as a case of situs inversus totalis.

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“…Physical examination www.lipid.or.kr Dextrocardia with situs inversus occurs rarely, with an estimated incidence of 1:10000 and the incidence of congenital heart disease is relatively low, estimated to be approximately 3%. [2][3][4][5] The case was also diagnosed as hypertrophic cardiomyopathy by 2D echocardiography assessment interestingly. In Korea, several cases were reported percutaneous coronary intervention in patient with dextrocardia [6][7][8][9] and in one case, coronary angiogram was performed by left transradial approach.…”

Section: Case Reportmentioning

confidence: 99%

Successful Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction in a Patient with Dextrocardia and Hypertrophic Cardiomyopathy

Jang

Jeong

Jung

et al. 2012

J Lipid Atheroscler

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We report a case of a 69-year-old man presenting with acute right chest pain radiating to the right shoulder. Physical examination revealed a right sided apex beat with a palpable liver on the left side. Reversed normalizing electrocardiogram are presented, allowing for correct diagnosis of an acute anterior myocardial infarction. Dextrocardia with situs inversus is an uncommon congenital condition, the patient also diagnosed hypertrophic cardiomyopathy by two dimensional echocardiography. Successful percutaneous coronary intervention was performed and the patient was discharged after uneventful recovery.

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Dextrocardia: an analysis of cardiac structures in 125 patients

Cited by 107 publications

References 19 publications

Dextrocardia with Situs Inversus, Atrio-ventricular and Ventriculararterial Concordance and a Left Posterior Aorta in a Preterm Twin Neonate

Dextrocardia with Situs Inversus, Atrio-ventricular and Ventriculararterial Concordance and a Left Posterior Aorta in a Preterm Twin Neonate

Situs Inversus Totalis: A Rare Congenital Anomaly and the Presence of COPD Giving a Concept of Dextroposition with Limb Lead Reversal in ECG

Successful Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction in a Patient with Dextrocardia and Hypertrophic Cardiomyopathy

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