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Published on: February 11, 2022
Situs inversus with dextrocardia with multiple cardiac lesions in adult
R M Piryani1, A Shukla, D N Prasad
1Department of Medicine, Nepalgunj Medical College, Kohalpur, Nepalgunj. r_piryani@yahoo.com
Insights
Situs inversus with dextrocardia, a heart malposition, is often found incidentally. This case highlights multiple congenital cardiac anomalies in a Nepalese adult with this condition.
Area of Science:
- Cardiology
- Medical Imaging
- Genetics
Background:
- Situs inversus with dextrocardia is a rare condition where the heart is on the right side of the chest.
- Individuals with this condition typically have a structurally normal heart and normal life expectancy.
- Congenital heart anomalies are uncommon in patients with situs inversus and dextrocardia.
Observation:
- A 43-year-old adult patient presented with situs inversus and dextrocardia.
- The patient was incidentally diagnosed with this condition.
- The diagnosis was made during a routine examination for an unrelated issue.
Findings:
- The patient had situs inversus with dextrocardia.
- Multiple cardiac lesions were identified, including a ventricular septal defect.
- The patient also had aortic, mitral, and tricuspid regurgitation.
Implications:
- This case underscores the importance of thorough cardiac evaluation in patients with situs inversus and dextrocardia.
- It highlights the potential for co-existing congenital heart defects.
- Further research is needed to determine the incidence of congenital cardiac anomalies in Nepal.
Abstract:
Situs inversus with dextrocardia is the malposition most likely to occur with structurally normal heart; generally discovered on routine chest x-ray or physical examination performed for other reasons. These persons experience normal longevity of life and have similar risk of getting acquired disease as that of other person of same age and sex group. Symptoms related to acquired disorder may also lead to discovery of such cardiac malposition. Incidence of congenital cardiac anomalies in dextrocardia with situs inversus is very low globally but its figure in Nepal is not known. We report an adult of 43 years age having situs inversus with dextrocardia associated with multiple cardiac lesions i.e. ventricular septal defect, aortic regurgitation, mitral regurgitation and tricuspid regurgitation.
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