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Interesting Case of Mesocardia: A Rare Cardiac Positional Anomaly
Nasir Majeed1, Harshana Bandara1, Aqeel Umar1
1Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK.
Respirology Case Reports
|December 15, 2025
Summary
A rare case of isolated mesocardia, a midline heart, was found incidentally in a patient with chronic cough and scoliosis. Successful treatment of associated eosinophilic asthma underscores the importance of recognizing abnormal cardiac positioning on imaging.
Area of Science:
- Cardiology
- Pulmonology
- Radiology
Background:
- Mesocardia, or a midline heart, is a rare condition.
- Abnormal cardiac positioning can be incidentally discovered during routine imaging.
Purpose of the Study:
- To report a rare case of isolated mesocardia.
- To emphasize the diagnostic importance of recognizing abnormal cardiac positioning.
Main Methods:
- Case report of a 37-year-old male patient.
- Review of chest imaging findings.
- Diagnostic workup for associated conditions.
Main Results:
- Incidental finding of mesocardia with upper thoracic scoliosis.
- Diagnosis of eosinophilic asthma.
- Successful management of asthma symptoms.
Conclusions:
- Isolated mesocardia is a rare finding.
- Routine radiographs are crucial for identifying abnormal cardiac positioning.
- Associated conditions like asthma require thorough investigation and management.
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