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
X-ray

Is this dextrocardia or dextrocardia with situs inversus?

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

MRI

Can you spot all the abnormalities.

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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