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Dextrocardia

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1. Acute myocardial infarction in dextrocardia — A diagnostic and therapeutic challenge. Can dextrocardia be a risk factor? (PubMed)

Acute myocardial infarction in dextrocardia — A diagnostic and therapeutic challenge. Can dextrocardia be a risk factor? Acute myocardial infarction in dextrocardia may present several challenges either in electrocardiographic diagnosis or coronary intervention or both, due to abnormal location of the heart, mirror images o the aorta and its branches, and abnormal coronary origin and orientation. Also, dextrocardia as a risk factor for coronary artery disease is less well established. We (...) report the case of a young patient with dextrocardia and situs inversus without any risk factor who presented with acute extensive anterior wall myocardial infarction diagnosed after lead reversal and who successfully underwent coronary intervention using "double inversion technique". Dextrocardia imposes a big challenge in diagnosing acute myocardial infarction on electrocardiography (ECG). Both limb and precordial leads should be reversed to reveal all ECG changes. Also because

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2017 Journal of cardiology cases

2. Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report. (PubMed)

Dextrocardia with complete AV block and the implantation of a temporary pacemaker before cesarean section: A case report. Patients with situs inversus totalis (SIT) and complete atrioventricular (AV) block are extremely rare, and only few cases have been reported up to now. Due to the rarity of such condition and its anatomical complexity, we reported this case as a reference for obstetricians, providing valuable insights into potential clinical treatment.We reported a case of 30-year-old

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2019 Medicine

3. Comparison of Morphologic Findings in Patients with Dextrocardia with Situs Solitus vs Situs Inversus: a Retrospective Study. (PubMed)

Comparison of Morphologic Findings in Patients with Dextrocardia with Situs Solitus vs Situs Inversus: a Retrospective Study. Studies on dextrocardia have been limited by low numbers. Hence, it is very difficult to find the most common diagnosis in patients with dextrocardia, who are seeking medical attention in tertiary care center.To identify the most common diagnostic pattern in patients with dextrocardia with different situs.It is a retrospective study with records dating back to up to last (...) 21 years from a major tertiary care center in south India. All the patients with diagnosis of dextrocardia (defined as right-sided baso-apical axis of heart) will be included in the study. Segmental analysis will be done as defined previously.There were total of n = 378 patients with dextrocardia, 43.3% were females and median age was 1 year while mean age was 7 years. Situs solitus was present in 43.1%, Situs inversus in 38.1%, and Situs ambiguus in 18.8%. In patients with situs solitus

2018 Pediatric Cardiology

4. Transcatheter Aortic Valve Replacement in a Patient with Dextrocardia and Situs Inversus Totalis. (PubMed)

Transcatheter Aortic Valve Replacement in a Patient with Dextrocardia and Situs Inversus Totalis. This report presents the case of an 82-year-old man with known dextrocardia and situs inversus totalis who presented with increasing dyspnea on exertion and was diagnosed with severe aortic stenosis. Transcatheter aortic valve replacement was performed and required deviation from standard techniques for patients with normal anatomy and left-sided aortic arch. We describe two technical differences (...) required for patients with dextrocardia and right-sided aortic arch that facilitate transcatheter aortic valve replacement in this patient group.Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

2018 Annals of Thoracic Surgery

5. Late diagnosis of a congenitally corrected transposition of the great arteries discovered at pacemaker implantation in a patient previously diagnosed with dextrocardia and situs solitus (PubMed)

Late diagnosis of a congenitally corrected transposition of the great arteries discovered at pacemaker implantation in a patient previously diagnosed with dextrocardia and situs solitus Congenitally corrected transposition of the great arteries (CCTGA) should not be missed in patients with dextrocardia and situs solitus. We report a case of a 56-year-old man with late diagnosis of CCTGA after ventricular lead replacement. Free LV wall pacing may be favorable in these patients so to prevent

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2018 Clinical Case Reports

6. Hepatoblastoma in a child with dextrocardia and possible histopathological alteration reminiscent of hepatocellular carcinoma after neoadjuvant chemotherapy (PubMed)

Hepatoblastoma in a child with dextrocardia and possible histopathological alteration reminiscent of hepatocellular carcinoma after neoadjuvant chemotherapy It is quite unambiguous and interesting that postchemotherapy histology of hepatoblastoma may mimicry that of hepatocellular carcinoma which should be differentiated by proper immunohistochemistry and cytology, if possible, for further management and predict prognosis.

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2018 Clinical Case Reports

7. Revisiting Atrioventricular Nodal Ablation and Cardiac Pacing of Atrial Fibrillation in a Patient with Dextrocardia (PubMed)

Revisiting Atrioventricular Nodal Ablation and Cardiac Pacing of Atrial Fibrillation in a Patient with Dextrocardia BACKGROUND Poorly controlled ventricular rate associated with atrial fibrillation (AF) leads to tachycardia-induced left ventricular dysfunction. Atrioventricular (AV) nodal ablation and cardiac pacing is the standard of care in refractory congestive heart failure (CHF) due to AF with moderate to rapid ventricular response that failed conventional medical therapy. If the patient (...) is not a candidate for AF ablation with pulmonary vein isolation and elimination of AF foci, this is an effective approach, but it does have some challenges when done in a patient with dextrocardia and situs inversus. CASE REPORT Our patient was a 77-year-old woman with dextrocardia and situs inversus, with a history of permanent AF due to severe coronary artery disease (CAD), who suffered from recurrent CHF exacerbations from permanent AF with moderate to rapid ventricular response with underlying hypertensive

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2018 The American journal of case reports

8. Management of scar-related atrial flutter in a patient with dextrocardia, inferior vena cava interruption, and azygos continuation (PubMed)

Management of scar-related atrial flutter in a patient with dextrocardia, inferior vena cava interruption, and azygos continuation 29424736 2018 12 21 2149-2271 19 2 2018 Feb Anatolian journal of cardiology Anatol J Cardiol Management of scar-related atrial flutter in a patient with dextrocardia, inferior vena cava interruption, and azygos continuation. 148-149 10.14744/AnatolJCardiol.2017.7950 Vurgun Veysel Kutay VK Department of Cardiology, Faculty of Medicine, Ankara University; Ankara

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2018 Anatolian journal of cardiology

9. Transcatheter aortic valve implantation for severe aortic stenosis in dextrocardia with situs inversus using a self-expanding aortic valve (PubMed)

Transcatheter aortic valve implantation for severe aortic stenosis in dextrocardia with situs inversus using a self-expanding aortic valve Transcatheter aortic valve implantation (TAVI) has evolved into a standard therapy for aged patients with severe aortic valve stenosis who are not candidates for surgery. However, the reports about the safety of TAVI for patients with dextrocardia situs inversus are few. An 84-year-old man with dextrocardia situs inversus underwent a TAVI for severe aortic (...) angiographic guidance. Post-procedural transthoracic echocardiography demonstrated a well-functioning CoreValve Evolut R with a mean pressure gradient of 8 mmHg. No complications occurred during the procedure or peri-procedural period. The patient's symptoms subsequently improved from New York Heart Association class III to class I. In conclusion, a TAVI procedure was safely performed in a patient with dextrocardia situs inversus through a transfemoral approach by evaluating the anatomical details

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2018 Journal of cardiology cases

10. Subcutaneous implantable defibrillator in dextrocardia secondary to Lobectomy (PubMed)

Subcutaneous implantable defibrillator in dextrocardia secondary to Lobectomy Knowledge of anatomy is vital preimplant to screen the patient for the subcutaneous implantable defibrillator (S-ICD), particularly those who have previously had thoracic surgery. X-ray screening in these patients is highly recommended.

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2018 Clinical Case Reports

11. Successful Heart Transplantation in Two Infants with Dextrocardia-Heterotaxy Syndrome. (PubMed)

Successful Heart Transplantation in Two Infants with Dextrocardia-Heterotaxy Syndrome. Infants with dextrocardia-heterotaxy syndrome pose significant surgical challenges to a successful orthotopic heart transplant. Herein we report on 2 infants with dextrocardia-heterotaxy syndrome who underwent complex heart transplantation. A combination of preoperative 3-dimensional chest computed tomography to predict optimal donor size and unique surgical technique resulted in successful outcomes.Copyright

2018 Annals of Thoracic Surgery

12. Successful percutaneous coronary intervention for an in-stent chronic total occlusion in a patient with dextrocardia: a case report. (PubMed)

Successful percutaneous coronary intervention for an in-stent chronic total occlusion in a patient with dextrocardia: a case report. Percutaneous coronary interventions of chronic total occlusion represent one of the most challenging issues in interventional cardiology. A Caucasian patient with dextrocardia presented with an in-stent chronic total occluded right coronary artery, a constellation which has not been described previously in the literature.A 69-year-old man with pre-known situs (...) and the recanalization using an antegrade wire escalation technique successfully performed.This is the first reported case of an in-stent chronic total occlusion in situs inversus with dextrocardia. Our experience in this case demonstrates the feasibility of recanalization of in-stent chronic total occlusions even in the rare setting of this congenital cardiac malposition combined with severe coronary artery disease.

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2017 BMC Cardiovascular Disorders

13. Catheter ablation of premature ventricular contractions originating from aortic sinus cusps in a patient with dextrocardia and situs solitus: A case report. (PubMed)

Catheter ablation of premature ventricular contractions originating from aortic sinus cusps in a patient with dextrocardia and situs solitus: A case report. Premature ventricular contractions (PVCs) originating from aortic sinus cusps is not infrequent and can be eliminated effectively by radiofrequency ablation with rare complications. However, after a review of the medical literature, and to our knowledge, this is the first case of successful idiopathic aortic sinus cusps-PVC-ablation using (...) a 3-dimensional (3D) mapping system in an adult with dextrocardia.A 62-year-old male with dextrocardia and situs inversus underwent catheter ablation of frequent PVCs. The electrocardiograms (ECG) were recorded by placement of the electrodes in reversed positions. The PVCs exhibited left bundle branch block and inferior axis QRS morphology with transition at leads V2-V3. The activation mapping indicated the earliest site of ventricular activation between the left and right aortic sinus cusps

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2017 Medicine

14. Comparing levocardia and dextrocardia in fetuses with heterotaxy syndrome: prenatal features, clinical significance and outcomes. (PubMed)

Comparing levocardia and dextrocardia in fetuses with heterotaxy syndrome: prenatal features, clinical significance and outcomes. To investigate the differences in cardiovascular disease, extracardiac anomalies and outcomes between fetuses with levocardia and dextrocardia.Clinical demographics, prenatal features, postnatal characteristics and the outcomes of fetuses with levocardia or dextrocardia were recorded and analyzed.Sixty-five fetuses with dextrocardia and thirty-eight fetuses (...) with levocardia were enrolled. Right ventricle outlet obstruction, atrioventricular septal defect and intestinal malrotation were common in both groups. Univentricular physiology, transposition of the great arteries and esophageal atresia were more frequent in fetuses with levocardia, whereas abnormal pulmonary venous connection, double outlet of right ventricle, left ventricle outlet obstruction and brain abnormalities were more frequent in the dextrocardia group. The accuracy of evaluating cardiac

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2017 BMC Pregnancy and Childbirth

15. Dextrocardia and dextroposition

Dextrocardia and dextroposition Dextrocardia and dextroposition – All About Cardiovascular System and Disorders Now Trending: | October 29, 2017 | | Dextrocardia and dextroposition Dextrocardia with situs inversus Dextrocardia is evident as the apex is pointing to the right and the right atrial contour is on the left. The gastric air bubble is on the right (below the diaphragm) and liver shadow on the left, indicating situs inversus. The ascending aortic shadow on the left is a little prominent

2017 Cardiophile MD blog

16. Aeroembolism in left atrium during catheter ablation of atrial fibrillation in a patient with dextrocardia: a case report and review of the literature. (PubMed)

Aeroembolism in left atrium during catheter ablation of atrial fibrillation in a patient with dextrocardia: a case report and review of the literature. Air embolus penetrating into heart chamber as a complication during percutaneous radiofrequency catheter ablation has been infrequently reported.A 55-year-old man with dextrocardia who suffered from abdominal pain was suspected to have multiple arterial thromboembolisms, which might have originated from left atrium thrombosis since he had atrial

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2017 BMC Cardiovascular Disorders

17. Implantation of VVI pacemaker in a patient with dextrocardia, persistent left superior vena cava, and sick sinus syndrome: A case report. (PubMed)

Implantation of VVI pacemaker in a patient with dextrocardia, persistent left superior vena cava, and sick sinus syndrome: A case report. Dextrocardia, or right-lying heart, is an uncommon congenital heart disease in which the apex of the heart is located on the right side of chest. Persistent left superior vena cava (PLSVA) is a rare venous anomaly that is often associated with the abnormalities of cardiac transduction system. A case with combination of dextrocardia, persistent left superior (...) vena cava, and sick sinus syndrome has not been reported.We used different techniques including cardiac color Doppler echocardiography, 24-hour Holter monitoring, and abdominal ultrasound to make a diagnosis and treated the patient by implanting a VVI pacemaker.A 50-year-old woman was admitted with a syncope. Angiography of the right atrium and superior vena cava, echocardiography, electrocardiography, and abdominal ultrasound revealed the presence of the combination of mirror image dextrocardia

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2017 Medicine

18. Three-dimensional electroanatomical mapping for non-pulmonary vein foci in a patient with complete situs inversus and dextrocardia (PubMed)

Three-dimensional electroanatomical mapping for non-pulmonary vein foci in a patient with complete situs inversus and dextrocardia In patients with atrial fibrillation (AF) having congenital anatomical abnormalities, such as complete situs inversus and dextrocardia, pulmonary vein isolation (PVI) ablation can be performed safety using a three-dimensional electroanatomical mapping system. However, it is not clear whether a three-dimensional electroanatomical mapping system can be used to detect (...) non-PV ectopic beats initiating AF in patients with complete situs inversus and dextrocardia. Here, we report a 21-year-old man with complete situs inversus and dextrocardia, who showed AF caused by non-PV ectopic beats. We successfully detected the origin of the triggered activity from the non-PV foci using three-dimensional electroanatomical mapping.Copyright © 2017 Indian Heart Rhythm Society. Production and hosting by Elsevier B.V. All rights reserved.

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2017 Indian pacing and electrophysiology journal

19. Successful Drug-eluting Stent Implantation in a Male Patient with Dextrocardia: A Case Report (PubMed)

Successful Drug-eluting Stent Implantation in a Male Patient with Dextrocardia: A Case Report Situs inversus with dextrocardia is a rare condition, with complete transposition of all the body organs, including the heart. Percutaneous coronary intervention (PCI) in these patients is technically difficult because of the mirror image of organs. Here, we describe a 56-year-old man with coronary heart disease with known situs inversus with dextrocardia and coronary percutaneous intervention (...) was performed for stenosis in the right coronary artery. A drug eluting stent was implanted at this site successfully. This case suggested that the interventional management of such patients follows the same general rules as for non-dextrocardia patients, but the manipulation of the catheter and projection position choices need to be taken into consideration to obtain optimal benefits for the patient.

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2017 Open Medicine

20. Acute myocardial infarction in a patient with dextrocardia and successful angioplasty (PubMed)

Acute myocardial infarction in a patient with dextrocardia and successful angioplasty A 48-year-old man with dextrocardia presented with atypical chest pain for 2 hours. Right-side ECG showed convex upward ST elevations in leads V4 and V5. Coronary angiogram showed complete occlusion of mid portion of the left anterior descending artery (LAD). Several attempts at engaging the left main origin was successful and the LAD was opened with placement of a drug-eluting stent. The post-procedure course

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2017 Journal of community hospital internal medicine perspectives

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