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Published on: February 11, 2022
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.
Abstract:
We present a rare case of dextrocardia in the corpse of a female child, aged approximately one year old, presenting situs solitus. The cases of dextrocardia reported in the literature normally describe multiple associated cardiac malformations. In the present study, it is noteworthy the fact that a complete specular image of the heart and the vessels of the base of the heart was not found. There was no atrioventricular discordance or other intra and extracardiac malformations, which are commonly seen in cases of dextrocardia. A large ductus arteriosus was found, as well as the anomalous position of the right portion of the heart.
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