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Isolated Dextrocardia With Situs Solitus Diagnosed in a Centenarian Patient: A Case Report
Elias M Nabhan1,2, Tony Bechara3
1Internal Medicine, Lebanese University Faculty of Medicine, Beirut, LBN.
Insights
This case report details a rare finding of dextrocardia with situs solitus in a 102-year-old male. The congenital heart anomaly was incidentally discovered during evaluation for cataract surgery.
Area of Science:
- Cardiology
- Medical Imaging
- Congenital Anomalies
Background:
- Dextrocardia with situs solitus is a rare congenital condition where the heart is on the right side of the chest.
- Congenital heart anomalies can be challenging to diagnose, especially in elderly patients with no prior significant medical history.
Abstract:
This case report presents a rare instance of dextrocardia with situs solitus in a centenarian patient, where the heart is abnormally positioned on the right side of the chest due to embryological development anomalies. The patient, a 102-year-old male with no significant medical history, sought medical attention for cataract surgery and was incidentally found to have a systolic murmur over the left upper sternal border, prompting further evaluation. Echocardiographic assessments revealed moderate aortic stenosis. Further imaging with an upright chest X-ray confirmed the presence of dextrocardia with situs solitus. This intriguing case exemplifies the complexities of diagnosing rare congenital anomalies and underscores the importance of comprehensive evaluations even in elderly patients.
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