Isolated levocarida: Two cases with abdominal situs inversus, thoracic situs solitus, and normal circulation

Chacko, K A; Krishnaswami, S; Sukumar, I P; Cherian, G

doi:10.1016/0002-8703(83)90456-8

Cited by 15 publications

(9 citation statements)

References 23 publications

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“…This case had a very rare congenital anomaly of situs inversus with levocardia 1 2. The incidence of situs inversus is estimated to be 1 in 10 000–25 000 births.…”

Section: Discussionmentioning

confidence: 92%

Dynamic left ventricular outflow obstruction in situs inversus with levocardia

et al. 2015

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SUMMARYA 69-year-old man with situs inversus, levocardia and inverted great arteries developed severe dynamic left ventricular outflow tract (LVOT) obstruction with systolic anterior motion of the anterior mitral leaflet. There was no asymmetric septal hypertrophy. A possible mechanism of the LOVT obstruction in the present case may have been related to an abnormally long and bent outflow tract resulting from overriding of the right ventricle over the LVOT due to a congenital malposition of the heart. Mitral valve replacement with septal myectomy was performed in order to eliminate systolic anterior motion. The postoperative course has been excellent. BACKGROUND

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“…This case had a very rare congenital anomaly of situs inversus with levocardia 1 2. The incidence of situs inversus is estimated to be 1 in 10 000–25 000 births.…”

Section: Discussionmentioning

confidence: 92%

Dynamic left ventricular outflow obstruction in situs inversus with levocardia

et al. 2015

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“…The prognosis depends on the severity of the associated cardiac anomaly, and only 5-13% of IL patients have been reported to survive for longer than 5 years (Harris & Rainey 1965;Annamalai & Ramakrishnan 1967;Liberthson et al 1973). IL has also been found unexpectedly in surgical cases, for instance, bowel obstruction or volvulus, which were caused by visceral heterotaxy (Chacko et al 1983;Tryfonas et al 1992;Budhiraja et al 2000). However, most IL patients without a cardiac anomaly or intestinal complication are likely to survive unnoticed.…”

Section: Introductionmentioning

confidence: 99%

Isolated levocardia: Prenatal diagnosis and management

Katsuya¹,

Yamada²,

Ukita³

et al. 2009

Congenital Anomalies

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Isolated levocardia (IL) is a rare condition of situs anomaly in which there is a normal left-sided heart (levocardia) with dextro position of the abdominal viscera. IL has been reported in children and adults with complex cardiac defects, whereas there are only few published reports regarding the prenatal diagnosis of IL. We report two prenatal cases of IL diagnosed by ultrasonography and magnetic resonance imaging (MRI). In both cases, fetal cardiac function remained within the normal range throughout pregnancy, and no treatment for the heart was required after birth. For the dextro position of abdominal viscera, one case was followed without any surgical procedure, but the other case required prophylactic operation due to malrotation of the small intestine. Although the prognosis of IL largely depends on the severity of associated cardiac anomaly, future bowel obstruction caused by intestinal malrotation may also be life-threatening. In this respect, prenatal diagnosis of IL is important, even when there is no associated cardiac structural anomaly. If IL is suspected in routine fetal ultrasonography, MRI may be recommended to obtain more detailed information on the anatomy of abdominal viscerae, and careful observation for bowel problems is required, especially after oral nutrition is started.

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“…Situs inversus is a rare condition commonly associated with serious cardiac and splenic malformations [1][2][3]. The coexistence of situs inversus and congenital duodenal obstruction is extremely rare, with only 18 cases reported so far in the literature [4][5][6][7][8][9][10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of the literature

et al. 2005

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This report describes two newborns with persistent bile-stained vomiting. Their radiological investigations revealed the existence of situs inversus and duodenal obstruction. In one, the duodenal obstruction was partial, secondary to a duodenal diaphragm with a central aperture, whereas the other child had complete duodenal atresia as well as Fallot's tetralogy. Such an association is extremely rare, with only 18 cases reported so far in the literature. Embryological aspects, investigations, and treatment are also discussed.

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Isolated levocarida: Two cases with abdominal situs inversus, thoracic situs solitus, and normal circulation

Cited by 15 publications

References 23 publications

Dynamic left ventricular outflow obstruction in situs inversus with levocardia

Dynamic left ventricular outflow obstruction in situs inversus with levocardia

Isolated levocardia: Prenatal diagnosis and management

Situs inversus abdominus in association with congenital duodenal obstruction: a report of two cases and review of the literature

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