Approach to Dextrocardia in Adults: <i>Review</i>

Maldjian, Pierre D.; Sarić, Muhamed

doi:10.2214/ajr.06.1179

Cited by 139 publications

(148 citation statements)

References 26 publications

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“…(7) Incidence of congenital heart disease associated with it is 3% -5%, the most common being transposition of the great vessels. (6) Of these patients, right-sided aortic arch is seen in 80% cases. The incidence of situs inversus with levocardia is much rarer (0.00005%).…”

Section: Discussionmentioning

confidence: 99%

Role of Routine Screening Imaging Modalities in the Diagnosis of Situs Inversus Totalis- Our Experience

Mandal¹,

Bhowmik²

2017

jemds

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BACKGROUNDSitus inversus totalis is rare with incidence of one in ten thousand. It is usually associated with dextrocardia (true mirror image) with only 3% -5% incidence of congenital heart disease, the most common being transposition of the great vessels. However, surgeons, radiologists and general practitioners should be aware of this condition as it may lead to wrong diagnosis and surgical mishaps. MATERIALS AND METHODSIn this study, we have included the patients who were diagnosed with dextrocardia on routine chest x-ray over a 5-year period from March 2012 to February 2017. We studied the imaging findings using routine screening imaging modalities like transabdominal ultrasound together with computed tomography, barium studies where applicable in the diagnosis of this relatively rare condition. The electrocardiogram findings were also assessed. RESULTSWe encountered 45 cases of dextrocardia during the 5-year period. Transabdominal ultrasound revealed transposition of liver, gall bladder, spleen, stomach and abdominal blood vessels. Computed tomography and barium studies reinforced the diagnosis. Electrocardiogram showed dextrocardia with right axis deviation. CONCLUSIONSitus inversus totalis with dextrocardia being a rare clinical entity should be interrogated with routing imaging modalities like chest x-ray, transabdominal ultrasound, computed tomography and barium studies to make the patient and clinician aware of this condition, thereby preventing wrong diagnosis and surgical mishaps.

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Section: Discussionmentioning

confidence: 99%

Role of Routine Screening Imaging Modalities in the Diagnosis of Situs Inversus Totalis- Our Experience

Mandal¹,

Bhowmik²

2017

jemds

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“…Situs inversus occurs more frequently with dextrocardia. 6 An incidence of 3-5% congenital heart disease is noted in situs inversus with dextrocardia, commonly with transposition of the great vessels. Among these patients, 80% have a right-sided aortic arch.…”

Section: Discussionmentioning

confidence: 99%

Case Report of a Patient with Situs Inversus Totalis with Ciliary Dysfunction for Laparoscopic Cholecystectomy: Considerations for Safe Peri-Operative Anaesthetic Management

Chattopadhyay¹

2017

jmscr

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“…Esta debe diferenciarse de la dextroposición cardíaca, la cual se define como el desplazamiento del corazón hacia la derecha. Esta última puede darse como consecuencia de hipoplasia pulmonar, neumonectomía derecha o hernia diafragmática (1) .…”

Section: Dextrocardiaunclassified

Dextrocardia en Paciente Con Cuadro De Dengue Clásico.

Sancho

2011

RC_UCR-HSJD

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Approach to Dextrocardia in Adults: Review

Abstract: In this article we describe an approach to dextrocardia in adult patients and illustrate the imaging manifestations of the most common underlying disorders.

Cited by 139 publications

References 26 publications

Role of Routine Screening Imaging Modalities in the Diagnosis of Situs Inversus Totalis- Our Experience

Role of Routine Screening Imaging Modalities in the Diagnosis of Situs Inversus Totalis- Our Experience

Case Report of a Patient with Situs Inversus Totalis with Ciliary Dysfunction for Laparoscopic Cholecystectomy: Considerations for Safe Peri-Operative Anaesthetic Management

Dextrocardia en Paciente Con Cuadro De Dengue Clásico.

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