Dextrocardia, situs inversus and atrial septal defect

Case contributed by Dr Jayanth Keshavamurthy

Presentation

Routine echocardiographic follow up showed enlarged right ventricle. Think of all the causes of RV enlargement. So a cardiac MRI was ordered.

Patient Data

Age: 27
Gender: Male

Is this dextrocardia or dextrocardia with situs inversus?

Modality: X-ray

Dextrocardia with situs inversus. Look where the liver shadow is.

Can you spot all the abnormalities.

Modality: MRI

Dextrocardia, situs inversus with ASD,

Case Discussion

Patient underwent cardiac catheterisation and an Amplatzer ASD occluder device placement.

MRI helped in showing the ASD size, location and a left to right shunt fraction calculation of 1.5:1.

It is unusual to have cardiac anomalies in cases of dextrocardia with situs inversus.

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Case Information

rID: 39834
Case created: 22nd Sep 2015
Last edited: 30th Nov 2016
Inclusion in quiz mode: Included

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