He was a known case of situs inversus with
dextrocardia. His symptoms were reproducible with mild to moderate exertion.
Keywords: Primary Percutaneous Coronary Intervention,
Dextrocardia.
A
dextrocardia e uma anomalia anatomica na qual o apice do coracao e encontrado no lado direito do torax, com reversao da inclinacao apical.
ANOMALIES Fused heart 01 Mesocardia 01
Dextrocardia with CORV 02 Interrupted aortic arch 02 Abnormal origin of right 01 subclavian artery Tetralogy of Fallot 01 V.S.D 07 A.S.D 01 Transposition of great vessels 01 Persistent truncus arteriosus 01 with tricuspid atresia, elongated hypertrophied abnormally positioned Rt.
Performing coronary artery bypass surgery on patients with
dextrocardia poses a more challenging task.
Frequent signs are hypoplastic/absent nipples scapular anomaly absent pectoral muscles brachydactyly (short fingers)
dextrocardia diaphragmatic hernia/defect syndactyly of fingers (webbing) ulna absent /abnormal upper limb asymmetry and abnormal rib.
In this study, the type of cardiac malposition was determined by the cardiac base-apex axis as
dextrocardia, mesocardia and levocardia.
(4) described a congenital mesocaval shunt and azygos continuation of the IVC in a 10-month-old infant with polysplenia and
dextrocardia. Since the development of cross-sectional imaging, congenital anomalies of the IVC and its tributaries have become more frequently encountered in asymptomatic patients.
In cases of
dextrocardia, the stomach bubble lies opposite to the cardiac axis.
BETA TYMPANIC METHYL HISTINE DEXA PRED 1 60 M NIL YES NO YES 2 56 M IHD YES NO YES 3 40 M NIL YES YES YES 4 20 M
DEXTROCARDIA YES YES YES 5 33 F NIL YES YES YES 6 62 F IHD, DM YES NO YES 7 22 M NIL YES YES YES 8 22 M HYPERHOM YES YES YES OCYSTEMENIA 9 32 F NIL YES YES YES 10 65 M IHD YES NO YES 11 45 F NIL YES YES YES 12 56 M DM YES NO YES 13 42 M NIL YES NO YES 14 19 M MULTIPLE YES YES YES SCLEROSIS 15 54 M NIL YES NO YES 16 73 M NIL YES NO YES 17 77 M NIL YES NO YES 18 40 F NIL YES NO YES 19 34 M NIL YES NO YES 20 37 M NIL YES NO YES Sl.
Congenital heart defect was observed in 28.5% of the participants, namely (by the order of frequency): 31 (44.9%) with ASD, 17 (24.6%) with VSD, 5 (7.2%) with PDA, and 3 with ASD+VSD+PDA, 2 with isolated
dextrocardia, and 2 with aortic stenosis (AS).
The other associated cardiac anomalies include left coronary artery originating from the pulmonary trunk, coronary arterioventricular fistulae, right coronnary artery atresia, pulmonar artery atresia, subpulmonary stenosis, anomalous pulmonary venous return, patent ductus arteriosus, tetralogy of Fallot, transposition of the great arteries,
dextrocardia and aortic atresia (8,9).