Incidental Finding of Dextrocardia with Situs Inversus and Absent Left  Kidney: A Case Report

Karki, Sital; Khadka, Nasatya; Kashyap, Basant; Sharma, Supriya; Rijal, Suraj; Basnet, Archana

doi:10.31729/jnma.6825

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…Our patient did not present with any clinically significant cardiopulmonary symptoms. Renal agenesis has also been noted in certain cases of situs inversus totalis [4] . This was not the case in our patient.…”

Section: Discussionmentioning

confidence: 95%

“…Generally, situs inversus can present in 2 forms: situs inversus totalis and situs inversus with levocardia. The former depicts a scenario in which there is a situs solitus mirror image, but the latter is a situs inversus with the heart in its normal location [ 4 , 5 ]. As in the case of our patient, most people with this condition are incidentally diagnosed during investigation for another medical condition [1] , [2] , [3] , [4] , [5] .…”

Section: Discussionmentioning

confidence: 99%

“…About 2%-5% of persons with situs inversus totalis have associated congenital cardiac disease of which transposition of the great vessels is the most commonly noted. Discordant AV connection, discordant ventriculo-atrial (VA) connection, and atrial situs solus are further congenital heart defects linked to dextrocardia with situs inversus [ 3 , 4 ]. Kartagener syndrome consisting of bronchiectasis, sinusitis, and situs inversus totalis is associated with patient with primary ciliary dyskinesia [ 3 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Situs inversus totalis in a 34-year-old diabetic woman. A case report

Amankwa¹,

Adomako²,

Obodai³

et al. 2023

Radiology Case Reports

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Situs inversus totalis in a 34-year-old diabetic woman. A case report

Amankwa¹,

Adomako²,

Obodai³

et al. 2023

Radiology Case Reports

View full text Add to dashboard Cite

“…No clinically significant cardiopulmonary symptoms were noted in our patient. There have also been reports of renal agenesis [ 33 ] in some situs inversus totalis cases. Identifying and managing these cardiopulmonary conditions may require specialized care and interventions.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of Dextrocardia with Situs Inversus: A Rare Condition and Its Clinical Importance

Deshimo,

Abebe,

Damtew

et al. 2024

Case Reports in Medicine

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Situs inversus totalis (SIT) is a rare medical condition characterized by a complete mirror-image reversal of the normal positioning of the internal organs. Aristotle initially described situs inversus in animals, while Fabricius first characterized it in humans. Although the specific cause is uncertain, there is evidence of autosomal recessive and X-linked inheritance. Before seeking treatment for an unrelated ailment, many people with SIT are unaware of their distinct anatomy, as in our case. The presented case is a 30-year-old female patient from Central Ethiopia, presented to Hakim Gizaw Teaching Hospital outpatient department of medicine with the complaint of right-sided anterior chest pain for five days. Clinically, the apical beat was heard in the right 5th intercostal space. After undergoing an electrocardiogram (ECG), echocardiogram, chest X-ray, and abdominal ultrasound, she was diagnosed with situs inversus totalis. The clinical implications of SIT encompass challenges in diagnosis and procedures, potential congenital cardiac abnormalities, considerations for organ transplantation, and clinical decision-making, particularly in emergency scenarios. Key Clinical Messages. This case highlights the clinical implications of dextrocardia with situs inversus totalis, emphasizing the importance of awareness for accurate diagnosis, procedural challenges, and informed clinical decision-making. Understanding this rare condition is crucial for providing appropriate medical care and to navigate potential complications in affected individuals.

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“…Situs inversus is a rare congenital heart condition that can be divided into situs inversus totalis and situs inversus with levocardia ( 9 , 10 ). According to chest X-ray and color Doppler echocardiography results, the patient reported in our case is cardiac dextrocardia, accompanied by visceral inversion.…”

Section: Discussionmentioning

confidence: 99%

Successful radiofrequency catheter ablation of Wolff-Parkinson-White syndrome in a patient with dextrocardia: A case report

Zhao

Li²,

Bai³

et al. 2022

Front. Cardiovasc. Med.

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BackgroundDextrocardia is a congenital heart malformation with a low incidence that occurs in only 1 in 10,000–12,000 people. Wolff-Parkinson-White (WPW) syndrome is a congenital condition with additional accessory pathways between the atria and the ventricle, which affects up to three in 1,000 people worldwide. Experience of radiofrequency catheter ablation in patients with WPW syndrome and dextrocardia is scarce due to its rare incidence.Case presentationA 39-year-old female was hospitalized due to two episodes of palpitations in the latest 2 months. The morphology of the P-QRS-T complex of lead aVR and aVL, II, and III were presented invertedly as common conditions, and shortened P-R interval and a characteristic “delta” wave were shown on the electrocardiogram (EGM). The patient with dextrocardia and situs invertus malposition was confirmed by chest-X ray, cardiac color Doppler echocardiography. The patient was diagnosed with WPW syndrome with dextrocardia and underwent radiofrequency catheter ablation (RFCA) successfully. In this case, the key to the success of RFCA is to understand the anatomical structure of the heart and the great vessels before the operation and make a personalized operative plan.ConclusionCatheter ablation for tachycardia patients with dextrocardia is efficient and safe. For patients with dextrocardia, the key to successful ablation was adjusting for projection angulation and different catheter manipulation compared with a standard case because of the mirror image of a normal heart.

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Incidental Finding of Dextrocardia with Situs Inversus and Absent Left Kidney: A Case Report

Cited by 5 publications

References 10 publications

Situs inversus totalis in a 34-year-old diabetic woman. A case report

Situs inversus totalis in a 34-year-old diabetic woman. A case report

A Case Report of Dextrocardia with Situs Inversus: A Rare Condition and Its Clinical Importance

Successful radiofrequency catheter ablation of Wolff-Parkinson-White syndrome in a patient with dextrocardia: A case report

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