What is normal in an abnormality? Central venous cannulation in a patient with Situs inversus totalis with dextrocardia and poly Cystic kidney disease

Vijayakumar, Vinodhadevi; Kandappan, Gunavathy; Udayakumar, Prabha; Padmanabhan, Ramashankari

doi:10.4103/0972-5229.118406

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…SIT is an unusual entity, first reported by Fabricius in 1600. SIT is usually incidentally detected on radiological images obtained due to another medical condition and does not threaten life [1,3,4].…”

Section: Discussionmentioning

confidence: 99%

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Situs inversus totalis with double superior vena cava: An unusual case report

Taskent¹,

Danışan²,

Aydin³

2019

Journal of Surgery and Medicine

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Section: Discussionmentioning

confidence: 99%

“…When both abdominal and thoracic viscera are affected, it is called situs inversus totalis (SIT) [2]. It can be associated with Kartegener triad (bronchietasis, sinusitis, and situs inversus), cardiac anomalies, genitourinary anomalies, polysplenia syndrome and intestinal rotational disorders [1,3,4].…”

Section: Introductionmentioning

confidence: 99%

Situs inversus totalis with double superior vena cava: An unusual case report

Taskent¹,

Danışan²,

Aydin³

2019

Journal of Surgery and Medicine

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Perioperative implications and management of dextrocardia

et al. 2015

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Dextrocardia, a term used to describe all varieties of developmental malformations resulting in the positioning of the heart in the right hemithorax, is linked to a number of highly significant cardiac disorders. Current estimates vary tremendously in the literature. Only about 10 % of patients with diagnosed dextroversion show no substantial cardiac pathology; however, the incidence of congenital heart defects associated with dextrocardia is close to 100 %. The majority of studies previously reported include dextrocardia associated with situs inversus and cases of Kartagener syndrome. There is complex embryology and pathogenesis that results in dextrocardia. Physical examinations of the heart, such as percussion and palpation during routine exams, are vitally important initial diagnostic instruments. X-ray, CT scan, echocardiography (ECHO), and MRI are all invaluable imaging modalities to confirm and classify the diagnosis of dextrocardia. In summary, heart malposition is a group of complex pathologic associations within the human body, rather than just a single congenital defect. Clinicians such as anesthesiologists have unique challenges managing patients with dextrocardia. An appreciation of associated pathogenesis, appropriate diagnosis, and management is paramount in ensuring the best outcome for these patients perioperatively.

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Incidental diagnosis of situs inversus totalis: a perspective from an emergency department attendance

2021

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A 30-year-old man of African origin presented to our emergency department (ED) with subjective fever and abdominal pain which started on the day of attendance. Vital signs and systemical examination were within normal limits. As part of his evaluation in ED, a 12-lead electrocardiogram was performed which showed features consistent with dextrocardia later confirmed on a chest X-ray as well. An ultrasound scan of the abdomen was performed which showed mirror imaging of the abdominal viscera, all of which were otherwise structurally normal. A diagnosis of situs inversus totalis was made. The patient’s symptoms resolved with analgesia and he was discharged with advice to follow-up in our hospital’s outpatient department. The diagnosis of situs inversus in the ED is a tricky one to make and most cases of this condition are discovered incidentally, as in our case. The mirror-imaged arrangement of viscera can have implications on the site of localised complaints, the physical examination, future health problems for the patient including anaesthesia risks, chronic lung conditions, cardiac complications and specialised trauma management. This anatomical variation can pose diagnostic challenges in such patients. Based on meticulous examination and readily accessible investigations including X-rays, 12-lead ECG and ultrasound, a timely diagnosis can be made.

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What is normal in an abnormality? Central venous cannulation in a patient with Situs inversus totalis with dextrocardia and poly Cystic kidney disease

Cited by 3 publications

References 2 publications

Situs inversus totalis with double superior vena cava: An unusual case report

Situs inversus totalis with double superior vena cava: An unusual case report

Perioperative implications and management of dextrocardia

Incidental diagnosis of situs inversus totalis: a perspective from an emergency department attendance

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