Anatomy of a dextrocardia case with situs solitus

Fabíola Sawaguchi Faig-Leite1, Horácio Faig-Leite

  • 1Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Campus de Botucatu, SP, Brazil. fasawaguchi@yahoo.com.br

Insights

This study reports a rare case of dextrocardia in a one-year-old female infant with situs solitus. Notably, this case lacked common associated cardiac malformations, presenting a unique anatomical finding.

Area of Science:

  • Pediatric Pathology
  • Cardiovascular Anatomy
  • Congenital Heart Disease

Background:

  • Dextrocardia, the displacement of the heart to the right side of the chest, is often associated with complex cardiac malformations.
  • Understanding variations in dextrocardia is crucial for accurate diagnosis and management.

Observation:

  • A rare case of dextrocardia was identified in a one-year-old female infant with situs solitus.
  • The heart's position was anomalous, with the right portion of the heart displaced.
  • A large ductus arteriosus was present.

Findings:

  • Unlike typical cases, this dextrocardia presented without significant associated cardiac malformations such as atrioventricular discordance.
  • A complete specular image of the heart and its base vessels was not observed.
  • The absence of common malformations makes this a unique presentation of dextrocardia.

Implications:

  • This case highlights the variability of dextrocardia and challenges the assumption of frequent co-occurring malformations.
  • Further research into isolated dextrocardia can refine etiological understanding.
  • Accurate identification of such rare presentations is vital for forensic pathology and clinical understanding.

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