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Updated: Jul 15, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
[Levocardia with spleen inversion, but without atrial transposition (author's transl)]
This report details a rare case of levocardia in a 14-year-old boy. The patient presented with a normally positioned spleen in the right upper abdomen, unrelated to atrial transposition.
Area of Science:
- Pediatric Cardiology
- Diagnostic Imaging
- Congenital Heart Disease
Background:
- Levocardia, a condition where the heart is on the left side, can be associated with complex congenital abnormalities.
- Accurate anatomical localization of visceral organs is crucial for diagnosing associated conditions.
Observation:
- A 14-year-old male patient presented with levocardia.
- Scintiphotography revealed a spleen located in the right upper quadrant of the abdomen.
- Angiographic and electrocardiographic evaluations excluded transposition of the great arteries.
Findings:
- The patient exhibits a rare combination of levocardia with splenic inversion (dextroposition).
- This anatomical arrangement is not associated with the typical cardiac malformations like atrial transposition.
Implications:
- This case highlights the importance of comprehensive imaging in patients with levocardia to identify associated visceral anomalies.
- Understanding such rare presentations can refine diagnostic criteria and improve patient management strategies for congenital conditions.
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