Dextrocardia with Situs Solitus in a Neonate – an Overview

Nelson Franqui-Rios, Yasmin Garcia, Leened Velazquez-Garcia

Abstract


Dextrocardia, a rare congenital heart condition, can occur in about 1 out of every 12,000 pregnancies. Dextrocardia with situs solitus refers to when the heart is on the right side of the thorax while other viscera are found in their normal positions. The condition can go unnoticed in cases of limited prenatal care and newborn evaluation, leading to patients never receiving pertinent cardiac evaluations and condition progression monitoring throughout their lives. This is the first case reported of isolated dextrocardia with situs solitus in a neonate without any additional cardiovascular abnormalities. This case report highlights the importance of prenatal and postnatal evaluation to ensure the identification of neonates with dextrocardia and improve their quality of life and outcomes.

Keywords


dextrocardia, situs solitus, prenatal diagnosis, pediatric echocardiography, isolated dextrocardia

Full Text:

PDF

References


Bohun CM, Potts JE, Casey BM, Sandor GG. A population-based study of cardiac malformations and outcomes associated with dextrocardia. Am J Cardiol. 2007;100(2):305-9. doi: 10.1016/j.amjcard.2007.02.095. PMID: 17631088..

Leung AK, Robson WL. Dextrocardia with situs [corrected] solitus. CMAJ. 2006 Aug 1;175(3):244. doi: 10.1503/cmaj.060721. Erratum in: CMAJ. 2006;175(6):624. PMID: 16880440; PMCID: PMC1513419.

Garg N, Agarwal BL, Modi N, Radhakrishnan S, Sinha N. Dextrocardia: an analysis of cardiac structures in 125 patients. Int J Cardiol. 2003;88(2-3):143-55; discussion 155-6. doi: 10.1016/s0167-5273(02)00539-9. PMID: 12714192.

Shakya K. Kartagener syndrome: a rare genetic disorder. JNMA J Nepal Med Assoc. 2009;48(173):62-5. PMID: 19529061.

Männer J. The anatomy of cardiac looping: a step towards the understanding of the morphogenesis of several forms of congenital cardiac malformations. Clin Anat. 2009;22(1):21-35. doi: 10.1002/ca.20652. PMID: 18661581.

Vanpraagh R, Vanpraagh S, Vlad P, Keith JD. Anatomic types of congenital dextrocardia: diagnostic and embryologic implications. Am J Cardiol. 1964;13:510-31. doi: 10.1016/0002-9149(64)90159-6. PMID: 14136294.

Buxton AE, Morganroth J, Josephson ME, Perloff JK, Shelburne JC. Isolated dextroversion of the heart with asymmetric septal hypertrophy. Am Heart J. 1976;92(6):785-90. doi: 10.1016/s0002-8703(76)80017-8. PMID: 136888.

Mehrotra P, Choi JW, Flaherty J, Davidson CJ. Percutaneous coronary intervention in a patient with cardiac dextroversion. Proc (Bayl Univ Med Cent). 2006;19(3):226-8. doi: 10.1080/08998280.2006.11928168. PMID: 17252039; PMCID: PMC1484529.

Srikant S, Dave D, Dave D. Isolated Dextrocardia with Situs Solitus - Dextroversion in a Ugandan Baby: A Case Report. Int Med Case Rep J. 2021;14:797-800. doi: 10.2147/IMCRJ.S340185. PMID: 34866941; PMCID: PMC8636690.




DOI: http://dx.doi.org/10.22551/2023.41.1004.10268

Copyright (c) 2023 Nelson Franqui-Rios, Yasmin Garcia, Leened Velazquez-Garcia

Creative Commons License
Archive of Clinical Cases is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

 

ISSN: 2360-6975