Uncomplicated isolated dextrocardia (“dextroversio cordis” type)

Burchell, Howard B.; Pugh, David G.

doi:10.1016/0002-8703(52)90145-2

Cited by 31 publications

(6 citation statements)

References 11 publications

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“…But in isolated lkvocardia or isolated dextrocardia, the presence of P wave inversion in lead I in the electrocardiogram and the presence of an aortic arch on the side opposite the cardiac apex are not diagnostic of corrected transposition types 2 and 3. Case 2 of Rosenbaum et al (1962) with isolated levocardia and Case 1 of Burchell and Pugh (1952) with isolated dextrocardia, had atrial inversion and the aortic arch was on the side opposite to the cardiac apex, but the great vessels were normally situated. Cases described by the following authors are probably examples of type 2 corrected transposition of the great vessels (Grunmach, 1890;Kelsey, Gilmore, and Edwards, 1953; and Case 1 of Hanson and Tabakin, 1961).…”

Section: Discussionmentioning

confidence: 98%

The Syndromes of Corrected Transposition of the Great Vessels

Shaher¹

1963

Heart

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In 1875 Rokitansky first described corrected transposition of the great vessels. Harris and Farber (1939) and Cardell (1956) thought that since inversion might occur in any part of the cardiac tube, in theory any one of eight types of transposition could result (Fig. 1). In their groups A3 and A4 the aorta arises from the morphological left ventricle but receives unoxygenated blood, hence they regarded it as being "corrected" anatomically but not physiologically. Their groups Bl and B2 associated with bulbus inversion, and sinu-atrial and ventricular inversion respectively, show both physiological and anatomical correction, the aorta arising from the morphological left ventricle and receiving oxygenated blood. In B3 and B4 associated with bulbo-ventricular inversion, and sinu-atrial inversion respectively, the aorta arises from the morphological right ventricle but receives oxygenated blood, hence it is corrected physiologically but not anatomically. Cardell (1956) and Harley (1958) suggested that the term corrected transposition should be confined to those cases with physiological correction only. Recent papers on the subject tend to confine the words "corrected transposition" to one anatomical type, i.e. the one associated with bulbo-ventricular inversion (Cardell's B3). Several papers have included cases of single ventricle among their material. The presence of a single ventricle vitiates any discussion of whether the transposition present is corrected or not, since mixing of the arterial and venous blood occurs in the common chamber. Several definitions have been given for corrected transposition, but we propose to use the term simply to define the condition where the transposed aorta receives oxygenated blood, and the transposed pulmonary artery receives venous blood. This paper is presented to describe three different types of corrected transposition that are readily recognizable whether there is lxvocardia or dextrocardia. Inversion means a reversal of the lateral relation between structures in the frontal plane. Complete transposition of the great vessels means that the aorta is lying anterior and to the right of the pulmonary artery, with livocardia. Inverted-transposition of the great vessels is used in the sense of Spitzer (1923) where the aorta is lying anterior and to the left of the pulmonary artery, with levocardia. During the course of the discussion cases of dextrocardia and levocardia will be mentioned. In order that these anomalies shall be properly understood, there should be a frame of reference which is that of normality, to which the abnormal situation may be compared in terms of inversion or transposition. The normal dextroposed heart in dextrocardia with situs inversus, with the venous chambers to the patient's left, is a mirror image of the normal lhvoposed heart in situs solitus. If in dextrocardia, the venous atrium is on the patient's right and the arterial on the left, they are by our definition inverted. This point is emphasized because this definition differs from that of Mande...

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Section: Discussionmentioning

confidence: 98%

The Syndromes of Corrected Transposition of the Great Vessels

Shaher¹

1963

Heart

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“…In dextroversion, on the other hand, no tapering conical apex is present, and the reversed silhouette maintains a bizarre appearance. 4. The convex shadow of the pulmonary arc is usually not visible in the frontal view on either the right or left side (Fig.…”

Section: Roentgen Findingsmentioning

confidence: 99%

“…The earliest reference to the condition is credited to Paltauf (1), who, in 1901, differentiated it from the other forms of dextrocardia. Since then, a considerable volume of information regarding this type of right-sided heart has accumulated (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). In spite of the fact that the radiologist is often the first to be confronted with the anomaly, only scant information concerning it is available in the radiological literature.…”

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confidence: 99%

Uncomplicated Dextroversion of the Heart

Welsh¹,

Felson²

1956

Radiology

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“…This complication appears to be of major significance in the death of three patients without other complications at the age of 35, 36, and 45 years, respectively. [1][2][3][4][5][6][7][8][9][10][11][12][13] The relationship of the mild aortic insufficiency to the patient's other congenital lesion is difficult to determine. There was no evidence of syphilis of the aorta, and no evidence of aortic, aortic ring, or aortic valvular diseases at postmortem examination.…”

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confidence: 99%

Corrected Transposition of the Great Vessels in a 73-Year-Old Man

et al. 1969

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SUMMARYThe case of a 73-year-old white man with corrected transposition of the great vessels and associated mitral and mild aortic regurgitation is reported. The patient's survival was the longest of any patient with this defect reported to date. Although the condition is theoretically compatible with a normal life span, few patients with this lesion survive past 40 years of age because of associated congenital defects or the subsequent development of A-V valvular insufficiency or heart block, or both. Additional Indexing Words:Mitral insufficiency

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Uncomplicated isolated dextrocardia (“dextroversio cordis” type)

Cited by 31 publications

References 11 publications

The Syndromes of Corrected Transposition of the Great Vessels

The Syndromes of Corrected Transposition of the Great Vessels

Uncomplicated Dextroversion of the Heart

Corrected Transposition of the Great Vessels in a 73-Year-Old Man

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