Congenitally corrected transposition in a patient with situs inversus, atrioventricular discordance and mesocardia

J S de Lezo1, J Herreros, M Côté

  • 1Cardiology Service, Department of Medicine, Centre Hospitalier Universitaire, Sherbrooke, Province of Québec, Canada.

Insights

This study presents a rare case of corrected transposition of great arteries in situs inversus, detailing its clinical and hemodynamic features. It compares associated anomalies and surgical considerations with situs solitus cases.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Medical Case Reports

Background:

  • Situs inversus is a rare condition where major visceral organs are reversed.
  • Corrected transposition of the great arteries (cTGA) is a complex congenital heart defect.
  • The co-occurrence of situs inversus and cTGA presents unique clinical challenges.

Purpose of the Study:

  • To present the clinical, hemodynamic, and angiographic features of a patient with situs inversus, atrioventricular discordance, cTGA (I,D,D), and mesocardia.
  • To review the literature on cTGA in situs inversus.
  • To compare associated anomalies and discuss surgical aspects.

Main Methods:

  • Case presentation of a patient with complex congenital heart disease.
  • Literature review of corrected transposition of the great arteries in situs inversus.
  • Comparative analysis of cardiovascular and electrocardiographic anomalies.

Main Results:

  • Detailed clinical, hemodynamic, and angiographic findings for the presented case.
  • Incidence of associated anomalies in situs inversus cTGA compared to situs solitus cTGA.
  • Discussion of specific surgical considerations for this rare condition.

Conclusions:

  • The combination of situs inversus and cTGA is exceptionally rare.
  • Understanding associated anomalies is crucial for patient management.
  • Specialized surgical approaches may be required for these complex cases.

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