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BMJ Case Reports Dec 2015A 69-year-old man with situs inversus, levocardia and inverted great arteries developed severe dynamic left ventricular outflow tract (LVOT) obstruction with systolic...
A 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.
Topics: Aged; Heart Ventricles; Humans; Levocardia; Male; Tomography, X-Ray Computed; Ventricular Outflow Obstruction
PubMed: 26628311
DOI: 10.1136/bcr-2015-213030 -
Circulation Feb 1951
Topics: Abdomen; Blalock-Taussig Procedure; Heart Defects, Congenital; Heart Diseases; Humans; Levocardia; Situs Inversus; Viscera
PubMed: 14812648
DOI: 10.1161/01.cir.3.2.202 -
Circulation Dec 1964
Topics: Adolescent; Angiocardiography; Cardiac Surgical Procedures; Heart Defects, Congenital; Heart Septal Defects; Heart Septal Defects, Atrial; Humans; Levocardia; Pulmonary Veins; Radiography, Thoracic; Situs Inversus; Thoracic Surgery
PubMed: 14246340
DOI: 10.1161/01.cir.30.6.923 -
European Heart Journal Apr 2017
Topics: Diverticulum; Heart Diseases; Heart Septal Defects, Atrial; Heart Ventricles; Humans; Infant, Newborn; Levocardia; Magnetic Resonance Angiography; Male; Multimodal Imaging; Tomography, X-Ray Computed
PubMed: 28028007
DOI: 10.1093/eurheartj/ehw519 -
Heart Views : the Official Journal of... Oct 2011Congenitally corrected transposition of great arteries is a rare congenital anomaly. This case report describes a 30-year-old patient of congenitally corrected...
Congenitally corrected transposition of great arteries is a rare congenital anomaly. This case report describes a 30-year-old patient of congenitally corrected transposition of the great arteries with rheumatic involvement of systemic (tricuspid) atrio-ventricular valve.
PubMed: 22574246
DOI: 10.4103/1995-705X.90908 -
Prenatal Diagnosis Jun 2004To review prenatal findings, short- and long-term outcomes of giant omphaloceles (GO) managed at a single institution (1996-2001). (Review)
Review
OBJECTIVES
To review prenatal findings, short- and long-term outcomes of giant omphaloceles (GO) managed at a single institution (1996-2001).
METHODS
Prenatal findings and early postnatal outcomes were retrospectively reviewed. Clinical short- and long-term outcomes were analyzed in eight and five children respectively. Parents and physicians of the children were surveyed by written questionnaires about the children's subsequent health issues. (IRB 2002-2-2683).
RESULTS
Seventeen pregnancies with GO were identified: Eight fetuses were live born, four ended in (terminations), two died in utero and three were lost to follow-up. Live-born fetuses had prenatal ascites, extreme levocardia and were delivered by cesarean section at a mean of 37 weeks' gestation with a mean birth weight of 2903 g. All neonates required intubation. Two infants (2/8) died within one year. Four of the six survivors had respiratory insufficiency with a mean ventilation time of 76 days. Respiratory and feeding problems complicated the early neonatal course. Long-term follow-up was available for five patients (mean age of 33.2 months). Asthma, recurrent pulmonary infections, feeding problems, gastroesophageal reflux and failure to thrive were the major problems.
CONCLUSIONS
Respiratory and feeding problems were the most common neonatal and long-term medical management issues. Parents need to be counseled prenatally about the probability of multiple surgeries and long hospitalization following birth.
Topics: Adolescent; Adult; Birth Weight; Cesarean Section; Female; Gestational Age; Hernia, Umbilical; Humans; Infant, Newborn; Magnetic Resonance Imaging; Male; Pregnancy; Prenatal Diagnosis; Prognosis; Quality of Life; Respiratory Tract Diseases
PubMed: 15229842
DOI: 10.1002/pd.894 -
Journal of Pediatric Surgery Dec 1992An unusual case of duodenal obstruction in an infant with isolated levocardia is described. The following anatomic features were shown preoperatively: (1) duodenal...
An unusual case of duodenal obstruction in an infant with isolated levocardia is described. The following anatomic features were shown preoperatively: (1) duodenal obstruction; (2) right-sided stomach and spleen; (3) left-sided liver; (4) totally right-sided located colon in mirror image nonrotation; and (5) levocardia without any defect or dysfunction. The mentioned findings were verified intraoperatively and the cause of the duodenal obstruction was found to be an aberrant vessel. This case is a rare one regarding the lack of heart and spleen defects and the cause of duodenal obstruction. It also demonstrates the necessity of meticulous investigation and precise description of the anomaly and suggests individualization as far as the management of these cases is concerned.
Topics: Duodenal Obstruction; Humans; Infant, Newborn; Levocardia; Male; Situs Inversus
PubMed: 1469584
DOI: 10.1016/0022-3468(92)90517-b -
American Heart Journal Jan 1962
Topics: Heart Defects, Congenital; Humans; Levocardia; Medical Records; Situs Inversus; Spleen; Syndrome
PubMed: 13863845
DOI: 10.1016/0002-8703(62)90229-6 -
Indian Journal of Pediatrics Mar 1963
Topics: Bronchiectasis; Heart Defects, Congenital; Humans; Levocardia; Paranasal Sinuses
PubMed: 14020023
DOI: 10.1007/BF02748180 -
Zhonghua Xin Xue Guan Bing Za Zhi Oct 2013
Topics: Female; Heart Septal Defects, Atrial; Humans; Levocardia; Situs Inversus; Young Adult
PubMed: 24377898
DOI: No ID Found