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Acta Cardiologica 1959
Topics: Animals; Cardiovascular Abnormalities; Cardiovascular System; Humans; Medical Records; Situs Inversus
PubMed: 13660667
DOI: No ID Found -
American Heart Journal Oct 1965
Topics: Adolescent; Angiocardiography; Cardiac Catheterization; Electrocardiography; Female; Heart Defects, Congenital; Humans; Radiography; Situs Inversus
PubMed: 5834189
DOI: 10.1016/0002-8703(65)90354-6 -
Turk Kardiyoloji Dernegi Arsivi : Turk... Dec 2021
Topics: Adolescent; Echocardiography; Female; Humans; Levocardia; Pericardium; Tomography, X-Ray Computed
PubMed: 34881712
DOI: 10.5543/tkda.2021.21132 -
Archiv Fur Kreislaufforschung Dec 1963
Topics: Adolescent; Angiocardiography; Cardiac Catheterization; Cardiac Surgical Procedures; Child; Electrocardiography; Heart Defects, Congenital; Humans; Infant; Levocardia; Situs Inversus; Thoracic Surgery; Transposition of Great Vessels
PubMed: 14116198
DOI: 10.1007/BF02119681 -
American Heart Journal May 1962
Topics: Heart Defects, Congenital; Humans; Incidental Findings; Levocardia; Male; Medical Records; Situs Inversus
PubMed: 13911821
DOI: 10.1016/0002-8703(62)90016-9 -
Journal of Cardiovascular Echography 2016
PubMed: 28465957
DOI: 10.4103/2211-4122.178470 -
Journal of Cardiovascular Echography 2020A newborn without prenatal diagnosis, with bronchial and abdominal situs inversus in levocardia, was referred to our hospital for accurate evaluation; echocardiography...
A newborn without prenatal diagnosis, with bronchial and abdominal situs inversus in levocardia, was referred to our hospital for accurate evaluation; echocardiography showed venoatrial connections in mirror-image arrangement, atrioventricular (AV) discordance, and double-outlet right ventricle (DORV). Additional cardiac malformations were double upper caval district, atrial communication, subpulmonary interventricular communication, and moderate subvalvular and valvular pulmonary stenosis. Few days after birth, the patient presented low oxygen saturation and the heart team decided for a palliative surgery. We describe a very rare case in a newborn with bronchial-abdominal mirror imagery, AV discordance, and DORV in levocardia.
PubMed: 33828947
DOI: 10.4103/jcecho.jcecho_65_20 -
European Heart Journal. Case Reports Jul 2021Cryoballoon-based pulmonary vein isolation (cbPVI) is a standardized treatment of atrial fibrillation. In complex anatomies, radiofrequency ablation (rfPVI) is usually...
BACKGROUND
Cryoballoon-based pulmonary vein isolation (cbPVI) is a standardized treatment of atrial fibrillation. In complex anatomies, radiofrequency ablation (rfPVI) is usually preferred. We describe the first cbPVI in a rare patient with SI and levocardia.
CASE SUMMARY
A 41-year-old male patient with paroxysmal atrial fibrillation was referred to our clinic after a previous, unsuccessful cbPVI procedure. Observation of an atypical lead-wire position due to an abnormal anatomy of the inferior vena cava led to its initial termination. A subsequent thoraco-abdominal computed tomography revealed situs inversus abdominalis and levocardia and the procedure was re-attempted in our clinic. Transseptal puncture (TSP) was guided via transoesophageal echocardiography and fluoroscopy, using a SL0-Sheath and a standard BRK-needle. Advancement of the sheath initially failed but after additional dilatation with an Inoue dilator, transseptal passage of the sheath was successful. Due to the unusual antero-cranial TSP, the septal pulmonary veins (PV) contrasted poorly. After repeat TSP, a steerable FlexCath Advance sheath was introduced into the left atrium using an Amplatz Super Stiff guidewire. Subsequently, all PV were intubated with the Achieve catheter, over which a 2nd generation cryoballoon was introduced. Despite the practical challenges in this case, all PV were isolated.
DISCUSSION
The main challenges include the achievement of transseptal access and manipulation of the cryoballoon to achieve a patent seal of the pulmonary veins. cbPVI eliminates the need for constant re-positioning of the ablation catheter and might facilitate the creation of durable lesions under such difficult anatomical conditions.
PubMed: 34240004
DOI: 10.1093/ehjcr/ytab245 -
Journal of Radiology Case Reports Feb 2015When approaching a case with a situs abnormality, using the proper terminology, making a specific diagnosis, and understanding the other often associated abnormalities...
When approaching a case with a situs abnormality, using the proper terminology, making a specific diagnosis, and understanding the other often associated abnormalities that need to be excluded are of great importance. We present a case of situs ambiguous in the presence of intestinal nonrotation and an obstructing duodenal web. Our patient initially presented at two days old with bilious emesis and failure to pass meconium after birth. An abdominal radiograph demonstrated an unusual bowel gas pattern, a reversed "double bubble" sign. A subsequent thorough imaging survey was crucial to further characterize our patient's unique anatomy. Overall, our case demonstrates many of the unusual plain radiographic and sonographic findings associated with our patient's situs abnormality and allows for review of situs abnormalities and their significance.
Topics: Abnormalities, Multiple; Diagnosis, Differential; Duodenum; Female; Humans; Infant, Newborn; Intestines; Levocardia; Radiography; Stomach; Ultrasonography
PubMed: 25926924
DOI: 10.3941/jrcr.v9i2.2358 -
Singapore Medical Journal Apr 2015Levocardia (left-sided cardiac apex) with abdominal situs inversus is extremely rare. This is also known as isolated levocardia and is almost always associated with...
Levocardia (left-sided cardiac apex) with abdominal situs inversus is extremely rare. This is also known as isolated levocardia and is almost always associated with severe forms of congenital heart defects with poor prognosis. We report isolated levocardia in a 13-year-old symptomatic male patient. The purpose of this paper is to outline the imaging features of isolated levocardia and to highlight the role of cardiovascular magnetic resonance imaging (CMR) in the diagnosis and management of such cases. Other forms of cardiac malposition, including dextrocardia, mesocardia and criss-cross heart, with chest radiograph and CMR correlation, are also discussed.
Topics: Abnormalities, Multiple; Adolescent; Diagnostic Imaging; Humans; Levocardia; Magnetic Resonance Imaging, Cine; Male; Radiography, Thoracic; Situs Inversus; Tomography, X-Ray Computed
PubMed: 25917470
DOI: 10.11622/smedj.2015059