Dextrocardia: When Right is Wrong!

Lakkireddy, Dhanunjaya

doi:10.4022/jafib.2222

Cited by 4 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On further workup, a chest x-ray revealed a cardiac apex pointing to the right, typical of dextrocardia. Dextrocardia refers to the malpositioning of the heart in the right thoracic cavity [6]. Its exact etiology needs to be better understood; however, it is thought to result from anomalies occurring in the embryonic development of the heart [4].…”

Section: Discussionmentioning

confidence: 99%

“…Its exact etiology needs to be better understood; however, it is thought to result from anomalies occurring in the embryonic development of the heart [4]. This condition is commonly associated with situs inversus, when all the internal organs in the thorax and abdomen are in the mirror position of their normal anatomical sides [6]. In most cases, this condition is an incidental finding [4].…”

Section: Discussionmentioning

confidence: 99%

“…The malpositioning of the heart may predispose patients to certain arrhythmias, such as atrial flutter and atrial fibrillation, which can cause later complications. In a retrospective study by Naaraayan et al in 2016 using their National Inpatient Sample (NIS) Database, the investigators concluded that patients with dextrocardia were more likely to have arrhythmias, especially atrial fibrillation atrial flutter, than those patients without [6].…”

Section: Discussionmentioning

confidence: 99%

“…Most people will continue to live a normal life after its discovery. However, since dextrocardia can pose a potential risk factor for arrhythmias, there is a chance that a person can develop atrial flutter [6].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Right Heart and Wrong Rhythm: Atrial Flutter in Dextrocardia

Lim,

Bais,

Ali

et al. 2023

Cureus

View full text Add to dashboard Cite

Atrial flutter is characterized by rapid atrial activity, causing an abnormal heart rhythm. Recognition and prompt management are of utmost importance since this cardiac arrhythmia could increase the risk of thromboembolic stroke and atrial fibrillation, which may lead to disability and death. Risk factors include myocardial infarction, surgery, medication, and structural heart abnormalities. One distinctive structural abnormality is dextrocardia. Herein, we present a case of a 47-year-old male who initially complains of difficulty in ambulation. Further workup showed atrial flutter with rapid ventricular response on electrocardiogram (ECG) and dextrocardia on imaging. This case tackles the possible association between dextrocardia and arrhythmias, which was an atrial flutter, its management, and treatment outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Right Heart and Wrong Rhythm: Atrial Flutter in Dextrocardia

Lim,

Bais,

Ali

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…In addition, the electrocardiogram of the patient suggested ventricular rate rapid atrial fibrillation, and it has been reported that patients with right-sided hearts are more prone to arrhythmias, especially atrial fibrillation/atrial flutter, which is thought to be related to genetic factors and hemodynamic and circulatory load changes. [4][5][6][7] The cerebral infarct TOAST classification was thought to be cardiogenic embolic.…”

Section: Discussionmentioning

confidence: 99%

Mechanical thrombectomy for acute left middle cerebral artery occlusion in a patient with mirror- image dextrocardia

Wang,

Jiang,

Chen

et al. 2023

NeuroAsia

View full text Add to dashboard Cite

Mirror-image dextrocardia is a physiological variant in which the heart is located in a mirror position to the right of the position of the normal human heart. Mirror-image dextrocardia combined with acute large-artery occlusive stroke is extremely rare in clinical practice. We present here a 67-year- old woman with complete blockage in her left middle cerebral artery. The patient also had a mirror- image dextrocardia. In this report, we share our experience in treating the patient using mechanical thrombectomy. During her visit to the emergency department, we performed various tests to understand the patient’s anatomy. Based on the findings, we decided to approach the femoral artery. Using a combination of stent thrombectomy and intermediate catheter aspiration, we successfully restored blood flow to the patient’s left middle cerebral artery.

show abstract